| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $470.40 | $1,255.59 | $2,660.00 |
Aetna
| Professional | QZ | $594.00 | $793.80 | $1,521.90 |
Cigna
| Professional | AA | $277.02 | $348.34 | $586.23 |
Health Partners
| Professional | AA | $205.72 | $334.20 | $820.40 |