| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $67.53 | $67.53 | $67.53 |
BCBS
| Facility | 26 | $56.14 | $56.14 | $56.14 |
Cigna
| Facility | 26 | $162.56 | $230.53 | $554.55 |
Health Partners
| Facility | 26 | $132.15 | $210.76 | $436.66 |