| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $178.45 | $178.45 | $178.45 |
BCBS
| Facility | 26 | $136.19 | $136.19 | $142.12 |
Cigna
| Facility | 26 | $398.19 | $564.97 | $1,359.11 |
Health Partners
| Facility | 26 | $323.86 | $515.57 | $1,070.16 |
Medica
| Facility | 26 | $1,587.28 | $1,587.28 | $1,587.28 |