| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $83.18 | $83.18 | $83.18 |
BCBS
| Facility | 26 | $60.26 | $69.18 | $69.18 |
Cigna
| Facility | 26 | $87.10 | $275.42 | $691.83 |
Health Partners
| Facility | 26 | $223.87 | $275.42 | $537.03 |