| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $204.17 | $2,290.87 | $3,019.95 |
Aetna
| Professional | QZ | $380.19 | $2,691.53 | $3,019.95 |
Cigna
| Professional | AA | $426.58 | $512.86 | $794.33 |
Health Partners
| Professional | AA | $407.38 | $489.78 | $1,258.93 |