| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $891.25 | $1,698.24 | $2,691.53 |
Aetna
| Professional | QZ | $630.96 | $1,445.44 | $2,290.87 |
Cigna
| Professional | AA | $426.58 | $512.86 | $794.33 |
Health Partners
| Professional | AA | $407.38 | $489.78 | $1,258.93 |