| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.36 | $32.36 | $77.45 |
BCBS
| Facility | 26 | $26.48 | $26.48 | $26.48 |
Cigna
| Facility | 26 | $77.48 | $109.89 | $264.35 |
Health Partners
| Facility | 26 | $61.01 | $100.46 | $208.15 |