| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $34.47 | $34.47 | $34.47 |
BCBS
| Facility | 26 | $28.21 | $28.21 | $28.21 |
Cigna
| Facility | 26 | $82.54 | $117.05 | $281.58 |
Health Partners
| Facility | 26 | $64.98 | $107.02 | $221.73 |