| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.48 | $52.48 | $52.48 |
BCBS
| Facility | 26 | $38.02 | $43.65 | $43.65 |
Cigna
| Facility | 26 | $42.66 | $165.96 | $457.09 |
Health Partners
| Facility | 26 | $147.91 | $181.97 | $354.81 |
Medica
| Facility | 26 | $239.88 | $239.88 | $239.88 |