| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $78.44 | $78.44 | $78.44 |
BCBS
| Facility | 26 | $64.20 | $64.20 | $64.20 |
Cigna
| Facility | 26 | $170.66 | $266.36 | $640.76 |
Health Partners
| Facility | 26 | $147.88 | $243.07 | $504.54 |
Medica
| Facility | 26 | $345.15 | $345.15 | $345.15 |