| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $700.00 | $1,366.80 | $2,380.00 |
Aetna
| Professional | QZ | $793.80 | $1,048.80 | $2,536.50 |
Cigna
| Professional | AA | $277.02 | $348.34 | $586.23 |
Health Partners
| Professional | AA | $205.72 | $334.20 | $820.40 |