| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $12.36 | $12.36 | $12.36 | |
BCBS
| Facility | $1.00 | $60.06 | $184.80 | |
Cigna
| Facility | $27.55 | $43.00 | $103.44 | |
Health Partners
| Facility | $23.88 | $37.90 | $81.45 | |
Medica
| Facility | $13.29 | $21.10 | $35.90 |