| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $33.43 | $33.43 | $33.43 |
BCBS
| Facility | 26 | $26.48 | $26.48 | $26.48 |
Cigna
| Facility | 26 | $79.17 | $112.28 | $270.10 |
Health Partners
| Facility | 26 | $62.34 | $102.65 | $212.68 |