| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $980.00 | $1,400.00 | $1,960.00 |
Aetna
| Professional | QZ | $332.80 | $421.20 | $598.00 |
Ambetter
| Professional | AA | $140.41 | $140.41 | $140.41 |
Ambetter
| Professional | QZ | $179.01 | $198.90 | $510.00 |