| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $616.60 | $1,288.25 | $1,479.11 |
Aetna
| Professional | QZ | $1,230.27 | $1,412.54 | $1,584.89 |
Cigna
| Professional | AA | $354.81 | $426.58 | $660.69 |
Health Partners
| Professional | AA | $338.84 | $407.38 | $1,047.13 |