| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.10 | $47.10 | $47.10 |
BCBS
| Facility | 26 | $38.58 | $38.58 | $38.58 |
Cigna
| Facility | 26 | $112.02 | $158.86 | $382.16 |
Health Partners
| Facility | 26 | $88.21 | $145.24 | $300.91 |