| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $397.70 | $1,260.00 | $2,100.00 |
Aetna
| Professional | QZ | $43.45 | $2,099.50 | $2,584.00 |
Cigna
| Professional | AA | $484.79 | $609.59 | $1,025.91 |
Health Partners
| Professional | AA | $360.01 | $584.85 | $1,435.70 |