| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $91.52 | $91.52 | $91.52 |
BCBS
| Facility | 26 | $75.73 | $75.73 | $75.73 |
Cigna
| Facility | 26 | $200.51 | $312.94 | $752.82 |
Health Partners
| Facility | 26 | $173.76 | $275.91 | $592.78 |
Medica
| Facility | 26 | $1,072.58 | $1,072.58 | $1,072.58 |