| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $47.78 | $47.78 | $47.78 | |
BCBS
| Facility | $70.73 | $107.78 | $245.72 | |
Cigna
| Facility | $106.97 | $151.69 | $364.92 | |
Health Partners
| Facility | $86.96 | $138.68 | $287.33 | |
Medica
| Facility | $45.17 | $72.48 | $96.82 |