| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.88 | $33.88 | $33.88 |
BCBS
| Facility | 26 | $25.12 | $28.84 | $28.84 |
Cigna
| Facility | 26 | $87.10 | $123.03 | $288.40 |
Health Partners
| Facility | 26 | $93.33 | $117.49 | $229.09 |