| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,659.59 | $2,951.21 | $4,365.16 |
Aetna
| Professional | QZ | $2,511.89 | $2,951.21 | $3,235.94 |
Cigna
| Professional | AA | $645.65 | $776.25 | $1,202.26 |
Health Partners
| Professional | AA | $602.56 | $741.31 | $1,905.46 |