| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $390.78 | $390.78 | $390.78 |
BCBS
| Facility | 26 | $296.88 | $296.88 | $296.88 |
Cigna
| Facility | 26 | $870.90 | $1,235.05 | $2,971.07 |
Health Partners
| Facility | 26 | $707.98 | $1,129.13 | $2,339.42 |