| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $831.76 | $1,621.81 | $2,290.87 |
Aetna
| Professional | QZ | $234.42 | $234.42 | $234.42 |
Cigna
| Professional | AA | $281.84 | $346.74 | $524.81 |
Health Partners
| Professional | AA | $269.15 | $323.59 | $851.14 |