| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $46.77 | $46.77 | $46.77 |
BCBS
| Facility | 26 | $33.88 | $38.90 | $38.90 |
Cigna
| Facility | 26 | $120.23 | $169.82 | $407.38 |
Health Partners
| Facility | 26 | $131.83 | $162.18 | $323.59 |