| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $74.13 | $74.13 | $74.13 |
BCBS
| Facility | 26 | $53.70 | $61.66 | $61.66 |
Cigna
| Facility | 26 | $190.55 | $269.15 | $630.96 |
Health Partners
| Facility | 26 | $204.17 | $257.04 | $501.19 |