| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $312.36 | $312.36 | $312.36 |
BCBS
| Facility | 26 | $237.27 | $237.27 | $247.58 |
Cigna
| Facility | 26 | $695.35 | $986.60 | $2,373.41 |
Health Partners
| Facility | 26 | $565.55 | $900.34 | $1,868.83 |
Medica
| Facility | 26 | $2,772.64 | $2,772.64 | $2,772.64 |