| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $108.95 | $108.95 | $108.95 |
BCBS
| Facility | 26 | $83.50 | $83.50 | $83.50 |
Cigna
| Facility | 26 | $222.70 | $347.58 | $836.15 |
Health Partners
| Facility | 26 | $192.99 | $317.19 | $658.39 |
Medica
| Facility | 26 | $460.02 | $460.02 | $460.02 |