| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $79.98 | $79.98 | $79.98 |
BCBS
| Facility | 26 | $58.74 | $58.74 | $58.74 |
Cigna
| Facility | 26 | $170.98 | $242.47 | $583.29 |
Health Partners
| Facility | 26 | $138.99 | $221.68 | $459.29 |