| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $83.18 | $83.18 | $83.18 |
BCBS
| Facility | 26 | $56.23 | $64.57 | $64.57 |
Cigna
| Facility | 26 | $128.82 | $269.15 | $660.69 |
Health Partners
| Facility | 26 | $213.80 | $263.03 | $524.81 |