| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $544.50 | $1,120.00 | $2,100.00 |
Aetna
| Professional | QZ | $434.72 | $434.72 | $580.41 |
Ambetter
| Professional | AA | $245.00 | $498.00 | $648.00 |
Ambetter
| Professional | QZ | $65.00 | $455.00 | $927.85 |