| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $199.53 | $977.24 | $1,905.46 |
Aetna
| Professional | QZ | $436.52 | $776.25 | $851.14 |
Cigna
| Professional | AA | $354.81 | $426.58 | $660.69 |
Health Partners
| Professional | AA | $338.84 | $407.38 | $1,047.13 |