| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $52.50 | $52.50 | $52.50 |
BCBS
| Facility | 26 | $40.31 | $40.31 | $40.31 |
Cigna
| Facility | 26 | $118.76 | $168.42 | $405.15 |
Health Partners
| Facility | 26 | $96.54 | $153.97 | $319.01 |