| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $549.54 | $1,023.29 | $1,318.26 |
Aetna
| Professional | QZ | $141.25 | $436.52 | $707.95 |
Ambetter
| Professional | AA | $154.88 | $229.09 | $562.34 |
Ambetter
| Professional | QZ | $162.18 | $245.47 | $588.84 |