| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,047.13 | $1,230.27 | $3,019.95 |
Aetna
| Professional | QZ | $575.44 | $812.83 | $1,621.81 |
Ambetter
| Professional | AA | $467.74 | $467.74 | $467.74 |
Ambetter
| Professional | QZ | $199.53 | $251.19 | $467.74 |