| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $158.49 | $158.49 | $158.49 |
BCBS
| Facility | 26 | $117.49 | $134.90 | $134.90 |
Cigna
| Facility | 26 | $128.82 | $489.78 | $1,348.96 |
Health Partners
| Facility | 26 | $436.52 | $549.54 | $1,071.52 |