| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $76.73 | $76.73 | $76.73 |
BCBS
| Facility | 26 | $63.34 | $63.34 | $63.34 |
Cigna
| Facility | 26 | $151.05 | $255.89 | $629.27 |
Health Partners
| Facility | 26 | $134.51 | $230.63 | $495.49 |
Medica
| Facility | 26 | $352.14 | $352.14 | $352.14 |