| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.60 | $51.60 | $51.60 |
BCBS
| Facility | 26 | $42.03 | $42.03 | $42.03 |
Cigna
| Facility | 26 | $101.39 | $171.76 | $422.39 |
Health Partners
| Facility | 26 | $90.29 | $154.81 | $332.59 |
Medica
| Facility | 26 | $238.74 | $238.74 | $238.74 |