| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $72.70 | $72.70 | $72.70 |
BCBS
| Facility | 26 | $55.86 | $55.86 | $55.86 |
Cigna
| Facility | 26 | $163.40 | $231.72 | $557.42 |
Health Partners
| Facility | 26 | $132.83 | $211.85 | $438.93 |