| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $446.68 | $1,258.93 | $2,187.76 |
Aetna
| Professional | QZ | $251.19 | $1,174.90 | $1,995.26 |
Cigna
| Professional | AA | $281.84 | $346.74 | $524.81 |
Health Partners
| Professional | AA | $269.15 | $323.59 | $851.14 |