| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $65.98 | $65.98 | $65.98 |
BCBS
| Facility | 26 | $54.42 | $54.42 | $54.42 |
Cigna
| Facility | 26 | $128.97 | $218.50 | $537.32 |
Health Partners
| Facility | 26 | $114.86 | $196.93 | $423.09 |
Medica
| Facility | 26 | $303.95 | $303.95 | $303.95 |