| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $91.26 | $91.26 | $91.26 | |
BCBS
| Facility | $169.69 | $417.78 | $862.86 | |
Cigna
| Facility | $223.93 | $317.72 | $764.32 | |
Health Partners
| Facility | $182.13 | $289.94 | $601.83 | |
Medica
| Facility | $86.41 | $132.21 | $237.63 |