| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $77.62 | $77.62 | $77.62 |
BCBS
| Facility | 26 | $56.23 | $64.57 | $64.57 |
Cigna
| Facility | 26 | $61.66 | $245.47 | $676.08 |
Health Partners
| Facility | 26 | $218.78 | $269.15 | $524.81 |
Medica
| Facility | 26 | $346.74 | $346.74 | $346.74 |