| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $41.74 | $41.74 | $41.74 |
BCBS
| Facility | 26 | $31.96 | $31.96 | $31.96 |
Cigna
| Facility | 26 | $95.18 | $134.97 | $324.69 |
Health Partners
| Facility | 26 | $86.48 | $123.40 | $255.66 |