| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $204.19 | $204.19 | $204.19 |
BCBS
| Facility | 26 | $166.15 | $166.15 | $166.15 |
Cigna
| Facility | 26 | $484.30 | $686.80 | $1,652.19 |
Health Partners
| Facility | 26 | $393.70 | $627.90 | $1,300.94 |