| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,258.93 | $1,905.46 | $3,388.44 |
Aetna
| Professional | QZ | $1,513.56 | $2,137.96 | $4,265.80 |
Cigna
| Professional | AA | $501.19 | $602.56 | $933.25 |
Health Partners
| Professional | AA | $478.63 | $575.44 | $1,479.11 |