| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $616.60 | $1,479.11 | $2,041.74 |
Aetna
| Professional | QZ | $190.55 | $1,380.38 | $1,737.80 |
Cigna
| Professional | AA | $354.81 | $426.58 | $660.69 |
Health Partners
| Professional | AA | $338.84 | $407.38 | $1,047.13 |