| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | 26 | $199.53 | $199.53 | $199.53 |
BCBS
| Facility | 26 | $162.18 | $162.18 | $309.03 |
Cigna
| Facility | 26 | $194.98 | $588.84 | $1,479.11 |
Health Partners
| Facility | 26 | $478.63 | $588.84 | $1,148.15 |