| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $34.15 | $34.15 | $34.15 |
BCBS
| Facility | 26 | $28.21 | $28.21 | $28.21 |
Cigna
| Facility | 26 | $80.86 | $114.67 | $275.83 |
Health Partners
| Facility | 26 | $63.67 | $104.83 | $217.20 |