| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $862.40 | $1,120.00 | $1,820.00 |
Aetna
| Professional | QZ | $1,133.85 | $1,133.85 | $2,198.30 |
Cigna
| Professional | AA | $415.53 | $522.50 | $879.35 |
Health Partners
| Professional | AA | $308.58 | $501.30 | $1,230.59 |