| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $136.05 | $136.05 | $136.05 |
BCBS
| Facility | 26 | $104.52 | $104.52 | $104.52 |
Cigna
| Facility | 26 | $279.33 | $435.97 | $1,048.78 |
Health Partners
| Facility | 26 | $242.07 | $397.85 | $825.81 |
Medica
| Facility | 26 | $1,169.20 | $1,169.20 | $1,169.20 |