| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.20 | $30.20 | $30.20 |
BCBS
| Facility | 26 | $21.38 | $25.12 | $25.12 |
Cigna
| Facility | 26 | $77.62 | $109.65 | $263.03 |
Health Partners
| Facility | 26 | $85.11 | $104.71 | $204.17 |