| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $37.83 | $37.83 | $37.83 |
BCBS
| Facility | 26 | $30.81 | $30.81 | $30.81 |
Cigna
| Facility | 26 | $90.96 | $129.00 | $310.32 |
Health Partners
| Facility | 26 | $73.95 | $117.94 | $244.35 |