| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.10 | $47.10 | $47.10 |
BCBS
| Facility | 26 | $38.58 | $38.58 | $38.58 |
Cigna
| Facility | 26 | $113.71 | $161.25 | $387.91 |
Health Partners
| Facility | 26 | $89.53 | $147.41 | $305.44 |