| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $43.96 | $43.96 | $43.96 |
BCBS
| Facility | 26 | $33.97 | $33.97 | $33.97 |
Cigna
| Facility | 26 | $100.23 | $142.13 | $341.93 |
Health Partners
| Facility | 26 | $91.07 | $129.71 | $269.24 |