| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $41.02 | $41.02 | $41.02 |
BCBS
| Facility | 26 | $34.26 | $34.26 | $34.26 |
Cigna
| Facility | 26 | $81.39 | $137.88 | $339.06 |
Health Partners
| Facility | 26 | $72.48 | $124.27 | $266.98 |
Medica
| Facility | 26 | $193.75 | $193.75 | $193.75 |