| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $76.53 | $76.53 | $76.53 |
BCBS
| Facility | 26 | $62.77 | $62.77 | $62.77 |
Cigna
| Facility | 26 | $184.46 | $261.58 | $629.27 |
Health Partners
| Facility | 26 | $145.24 | $239.15 | $495.49 |