| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $53.70 | $53.70 | $53.70 |
BCBS
| Facility | 26 | $39.81 | $45.71 | $45.71 |
Cigna
| Facility | 26 | $44.67 | $169.82 | $467.74 |
Health Partners
| Facility | 26 | $147.91 | $186.21 | $363.08 |
Medica
| Facility | 26 | $251.19 | $251.19 | $251.19 |