| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $34.11 | $34.11 | $34.11 |
BCBS
| Facility | 26 | $27.92 | $27.92 | $27.92 |
Cigna
| Facility | 26 | $81.70 | $115.86 | $278.72 |
Health Partners
| Facility | 26 | $64.33 | $105.92 | $219.46 |