| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $537.03 | $1,202.26 | $2,630.27 |
Aetna
| Professional | QZ | $660.69 | $977.24 | $1,380.38 |
Ambetter
| Professional | AA | $194.98 | $512.86 | $1,230.27 |
Ambetter
| Professional | QZ | $218.78 | $426.58 | $1,047.13 |