| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $93.94 | $93.94 | $93.94 |
BCBS
| Facility | 26 | $72.28 | $72.28 | $72.28 |
Cigna
| Facility | 26 | $191.33 | $298.61 | $718.34 |
Health Partners
| Facility | 26 | $165.80 | $272.50 | $565.63 |
Medica
| Facility | 26 | $396.63 | $396.63 | $396.63 |