| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,820.00 | $2,520.00 | $3,500.00 |
Aetna
| Professional | QZ | $1,744.40 | $1,852.20 | $1,852.20 |
Cigna
| Professional | AA | $623.29 | $783.76 | $1,319.02 |
Health Partners
| Professional | AA | $462.87 | $751.95 | $1,845.90 |