| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $51.73 | $51.73 | $51.73 |
BCBS
| Facility | 26 | $42.61 | $42.61 | $42.61 |
Cigna
| Facility | 26 | $102.08 | $172.93 | $425.26 |
Health Partners
| Facility | 26 | $90.90 | $155.86 | $334.85 |
Medica
| Facility | 26 | $240.42 | $240.42 | $240.42 |