| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $628.16 | $628.16 | $628.16 |
BCBS
| Facility | 26 | $477.43 | $477.43 | $477.43 |
Cigna
| Facility | 26 | $1,396.47 | $1,980.37 | $4,764.06 |
Health Partners
| Facility | 26 | $1,135.23 | $1,810.54 | $3,751.23 |