| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $32.36 | $32.36 | $32.36 |
BCBS
| Facility | 26 | $22.91 | $26.92 | $26.92 |
Cigna
| Facility | 26 | $81.28 | $114.82 | $275.42 |
Health Partners
| Facility | 26 | $89.13 | $112.20 | $218.78 |