| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $443.77 | $443.77 | $443.77 |
BCBS
| Facility | 26 | $342.38 | $342.38 | $342.38 |
Cigna
| Facility | 26 | $1,003.98 | $1,423.77 | $3,425.06 |
Health Partners
| Facility | 26 | $912.24 | $1,301.66 | $2,696.90 |