| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $436.52 | $2,511.89 | $3,162.28 |
Aetna
| Professional | QZ | $676.08 | $1,548.82 | $3,311.31 |
Ambetter
| Professional | AA | $323.59 | $323.59 | $1,096.48 |
Ambetter
| Professional | QZ | $251.19 | $891.25 | $2,570.40 |