| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $121.32 | $121.32 | $121.32 |
BCBS
| Facility | 26 | $99.34 | $99.34 | $99.34 |
Cigna
| Facility | 26 | $263.26 | $410.89 | $988.44 |
Health Partners
| Facility | 26 | $228.14 | $362.27 | $778.30 |