| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $255.09 | $255.09 | $255.09 |
BCBS
| Facility | 26 | $194.37 | $194.37 | $202.82 |
Cigna
| Facility | 26 | $568.24 | $806.24 | $1,939.53 |
Health Partners
| Facility | 26 | $462.17 | $735.75 | $1,527.19 |
Medica
| Facility | 26 | $2,263.28 | $2,263.28 | $2,263.28 |