| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $85.40 | $85.40 | $85.40 |
BCBS
| Facility | 26 | $70.83 | $70.83 | $70.83 |
Cigna
| Facility | 26 | $188.26 | $293.83 | $706.85 |
Health Partners
| Facility | 26 | $163.15 | $268.14 | $556.58 |
Medica
| Facility | 26 | $725.41 | $725.41 | $725.41 |