| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.62 | $30.62 | $30.62 |
BCBS
| Facility | 26 | $25.05 | $25.05 | $25.05 |
Cigna
| Facility | 26 | $68.11 | $106.30 | $255.73 |
Health Partners
| Facility | 26 | $59.02 | $97.01 | $201.36 |
Medica
| Facility | 26 | $136.22 | $136.22 | $136.22 |