| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $39.97 | $39.97 | $39.97 |
BCBS
| Facility | 26 | $29.95 | $29.95 | $29.95 |
Cigna
| Facility | 26 | $88.44 | $125.42 | $301.70 |
Health Partners
| Facility | 26 | $71.89 | $114.66 | $237.56 |