| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.74 | $39.74 | $39.74 |
BCBS
| Facility | 26 | $32.53 | $32.53 | $32.53 |
Cigna
| Facility | 26 | $94.33 | $133.78 | $321.82 |
Health Partners
| Facility | 26 | $74.28 | $122.30 | $253.40 |