| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $169.84 | $169.84 | $169.84 |
BCBS
| Facility | 26 | $141.09 | $141.09 | $141.09 |
Cigna
| Facility | 26 | $375.00 | $585.27 | $1,407.95 |
Health Partners
| Facility | 26 | $324.97 | $516.02 | $1,108.63 |