| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $47.45 | $47.45 | $47.45 |
BCBS
| Facility | 26 | $38.86 | $38.86 | $38.86 |
Cigna
| Facility | 26 | $114.55 | $162.44 | $390.78 |
Health Partners
| Facility | 26 | $90.20 | $148.51 | $307.70 |