| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $84.87 | $84.87 | $84.87 |
BCBS
| Facility | 26 | $65.65 | $65.65 | $65.65 |
Cigna
| Facility | 26 | $192.88 | $273.52 | $658.00 |
Health Partners
| Facility | 26 | $175.25 | $249.61 | $518.11 |