| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $69.90 | $69.90 | $69.90 |
BCBS
| Facility | 26 | $57.29 | $57.29 | $57.29 |
Cigna
| Facility | 26 | $168.45 | $238.89 | $574.67 |
Health Partners
| Facility | 26 | $132.63 | $218.40 | $452.50 |