| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.88 | $33.88 | $33.88 |
BCBS
| Facility | 26 | $25.70 | $30.20 | $30.20 |
Cigna
| Facility | 26 | $57.54 | $123.03 | $302.00 |
Health Partners
| Facility | 26 | $97.72 | $120.23 | $239.88 |