| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $81.28 | $1,819.70 | $2,884.03 |
Aetna
| Professional | QZ | $2,041.74 | $2,041.74 | $2,041.74 |
Cigna
| Professional | AA | $426.58 | $512.86 | $794.33 |
Health Partners
| Professional | AA | $407.38 | $489.78 | $1,258.93 |