| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $53.15 | $53.15 | $53.15 |
BCBS
| Facility | 26 | $43.48 | $43.48 | $43.48 |
Cigna
| Facility | 26 | $104.15 | $176.43 | $433.88 |
Health Partners
| Facility | 26 | $92.74 | $159.02 | $341.64 |
Medica
| Facility | 26 | $239.22 | $239.22 | $239.22 |