| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $118.83 | $118.83 | $118.83 |
BCBS
| Facility | 26 | $89.55 | $89.55 | $89.55 |
Cigna
| Facility | 26 | $262.79 | $372.66 | $896.49 |
Health Partners
| Facility | 26 | $213.63 | $340.70 | $705.90 |