| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $75.86 | $75.86 | $75.86 |
BCBS
| Facility | 26 | $54.95 | $63.10 | $63.10 |
Cigna
| Facility | 26 | $63.10 | $239.88 | $660.69 |
Health Partners
| Facility | 26 | $213.80 | $263.03 | $512.86 |
Medica
| Facility | 26 | $354.81 | $354.81 | $354.81 |