| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $103.86 | $103.86 | $103.86 |
BCBS
| Facility | 26 | $86.09 | $86.09 | $86.09 |
Cigna
| Facility | 26 | $250.99 | $355.94 | $856.27 |
Health Partners
| Facility | 26 | $197.63 | $325.42 | $674.23 |