| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $602.56 | $1,000.00 | $1,698.24 |
Aetna
| Professional | QZ | $446.68 | $831.76 | $1,380.38 |
Ambetter
| Professional | AA | $181.97 | $630.96 | $1,445.44 |
Ambetter
| Professional | QZ | $186.21 | $676.08 | $1,174.90 |