| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $645.65 | $1,548.82 | $2,398.83 |
Aetna
| Professional | QZ | $691.83 | $1,202.26 | $1,995.26 |
Cigna
| Professional | AA | $426.58 | $512.86 | $794.33 |
Health Partners
| Professional | AA | $407.38 | $489.78 | $1,258.93 |