| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $61.59 | $61.59 | $61.59 |
BCBS
| Facility | 26 | $51.54 | $51.54 | $51.54 |
Cigna
| Facility | 26 | $149.91 | $212.61 | $511.46 |
Health Partners
| Facility | 26 | $118.05 | $194.38 | $402.73 |