| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $30.26 | $30.26 | $30.26 |
BCBS
| Facility | 26 | $25.05 | $25.05 | $25.05 |
Cigna
| Facility | 26 | $73.28 | $103.92 | $249.98 |
Health Partners
| Facility | 26 | $57.70 | $95.00 | $196.84 |