| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $87.10 | $87.10 | $87.10 |
BCBS
| Facility | 26 | $63.10 | $72.44 | $72.44 |
Cigna
| Facility | 26 | $91.20 | $288.40 | $724.44 |
Health Partners
| Facility | 26 | $234.42 | $288.40 | $562.34 |