| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.58 | $61.29 | $88.78 | |
BCBS
| Facility | $0.97 | $1.00 | $413.63 | |
Cigna
| Facility | $139.82 | $198.28 | $476.98 | |
Health Partners
| Facility | $110.09 | $181.27 | $375.58 | |
Medica
| Facility | $39.83 | $96.27 | $1,673.10 |