| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.77 | $52.77 | $52.77 |
BCBS
| Facility | 26 | $43.19 | $43.19 | $43.19 |
Cigna
| Facility | 26 | $103.46 | $175.27 | $431.01 |
Health Partners
| Facility | 26 | $92.13 | $157.97 | $339.38 |
Medica
| Facility | 26 | $246.45 | $246.45 | $246.45 |