| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $91.20 | $91.20 | $91.20 |
BCBS
| Facility | 26 | $67.61 | $77.62 | $77.62 |
Cigna
| Facility | 26 | $75.86 | $288.40 | $794.33 |
Health Partners
| Facility | 26 | $257.04 | $316.23 | $616.60 |
Medica
| Facility | 26 | $1,071.52 | $1,071.52 | $1,071.52 |