| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $122.38 | $122.38 | $122.38 |
BCBS
| Facility | 26 | $101.07 | $101.07 | $101.07 |
Cigna
| Facility | 26 | $267.08 | $416.86 | $1,002.81 |
Health Partners
| Facility | 26 | $231.46 | $367.53 | $789.61 |