| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $94.11 | $94.11 | $94.11 |
BCBS
| Facility | 26 | $72.28 | $72.28 | $72.28 |
Cigna
| Facility | 26 | $192.09 | $299.80 | $721.22 |
Health Partners
| Facility | 26 | $166.46 | $273.58 | $567.89 |
Medica
| Facility | 26 | $392.09 | $392.09 | $392.09 |