| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $36.32 | $36.32 | $36.32 |
Cigna
| Facility | 26 | $59.79 | $273.39 | $327.56 |
Health Partners
| Facility | 26 | $47.08 | $257.93 | $257.93 |
Medica
| Facility | 26 | $172.60 | $172.60 | $172.60 |