| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $825.00 | $980.00 | $1,400.00 |
Aetna
| Professional | QZ | $610.54 | $882.00 | $1,521.90 |
Cigna
| Professional | AA | $346.28 | $435.42 | $732.79 |
Health Partners
| Professional | AA | $257.14 | $417.75 | $1,025.50 |
United
| Professional | QZ | $90.00 | $632.45 | $632.45 |