| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $97.07 | $97.07 | $97.07 |
BCBS
| Facility | 26 | $80.91 | $80.91 | $80.91 |
Cigna
| Facility | 26 | $213.52 | $333.25 | $801.67 |
Health Partners
| Facility | 26 | $185.03 | $304.11 | $631.24 |