| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $70.79 | $70.79 | $70.79 |
BCBS
| Facility | 26 | $52.48 | $60.26 | $60.26 |
Cigna
| Facility | 26 | $181.97 | $257.04 | $616.60 |
Health Partners
| Facility | 26 | $199.53 | $251.19 | $489.78 |