| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $48.85 | $48.85 | $48.85 |
BCBS
| Facility | 26 | $37.72 | $37.72 | $37.72 |
Cigna
| Facility | 26 | $101.02 | $157.66 | $379.29 |
Health Partners
| Facility | 26 | $87.54 | $139.01 | $298.64 |