| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $257.04 | $257.04 | $257.04 |
BCBS
| Facility | 26 | $199.53 | $199.53 | $208.93 |
Cigna
| Facility | 26 | $602.56 | $851.14 | $2,041.74 |
Health Partners
| Facility | 26 | $660.69 | $812.83 | $1,584.89 |
Medica
| Facility | 26 | $2,238.72 | $2,238.72 | $2,238.72 |