| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $54.32 | $54.32 | $54.32 |
BCBS
| Facility | 26 | $44.63 | $44.63 | $44.63 |
Cigna
| Facility | 26 | $106.22 | $179.94 | $442.50 |
Health Partners
| Facility | 26 | $94.59 | $162.18 | $348.43 |
Medica
| Facility | 26 | $252.69 | $252.69 | $252.69 |