| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $223.87 | $741.31 | $977.24 |
Aetna
| Professional | QZ | $794.33 | $851.14 | $1,122.02 |
Cigna
| Professional | AA | $416.87 | $478.63 | $524.81 |
Wellmark
| Professional | AA | $446.68 | $446.68 | $446.68 |
Wellmark
| Professional | QZ | $346.74 | $346.74 | $346.74 |