| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $94.78 | $94.78 | $94.78 |
BCBS
| Facility | 26 | $73.14 | $73.14 | $73.14 |
Cigna
| Facility | 26 | $213.94 | $303.39 | $729.84 |
Health Partners
| Facility | 26 | $173.91 | $277.37 | $574.67 |