| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $220.53 | $220.53 | $220.53 |
BCBS
| Facility | 26 | $166.73 | $166.73 | $166.73 |
Cigna
| Facility | 26 | $487.67 | $691.58 | $1,663.68 |
Health Partners
| Facility | 26 | $396.44 | $632.27 | $1,309.99 |