| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $2,454.71 | $3,715.35 | $4,265.80 |
Aetna
| Professional | QZ | $3,019.95 | $3,019.95 | $3,311.31 |
Cigna
| Professional | AA | $776.25 | $954.99 | $1,445.44 |
Health Partners
| Professional | AA | $741.31 | $891.25 | $2,344.23 |