| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $83.50 | $83.50 | $83.50 |
BCBS
| Facility | 26 | $63.34 | $63.34 | $63.34 |
Cigna
| Facility | 26 | $186.14 | $263.97 | $635.02 |
Health Partners
| Facility | 26 | $151.32 | $241.33 | $500.01 |