| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $80.61 | $80.61 | $80.61 |
BCBS
| Facility | 26 | $66.52 | $66.52 | $66.52 |
Cigna
| Facility | 26 | $192.88 | $273.52 | $658.00 |
Health Partners
| Facility | 26 | $151.87 | $250.07 | $518.11 |