| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,348.96 | $2,454.71 | $3,162.28 |
Aetna
| Professional | QZ | $1,513.56 | $1,584.89 | $3,019.95 |
Cigna
| Professional | AA | $501.19 | $602.56 | $933.25 |
Health Partners
| Professional | AA | $478.63 | $575.44 | $1,479.11 |