| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $116.19 | $116.19 | $116.19 |
BCBS
| Facility | 26 | $88.40 | $88.40 | $88.40 |
Cigna
| Facility | 26 | $258.58 | $366.69 | $882.13 |
Health Partners
| Facility | 26 | $210.20 | $335.24 | $694.59 |