| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $64.91 | $64.91 | $64.91 |
BCBS
| Facility | 26 | $53.84 | $53.84 | $53.84 |
Cigna
| Facility | 26 | $128.29 | $217.33 | $534.45 |
Health Partners
| Facility | 26 | $114.24 | $195.88 | $420.83 |
Medica
| Facility | 26 | $303.95 | $303.95 | $303.95 |