| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $563.02 | $1,260.00 | $1,400.00 |
Aetna
| Professional | QZ | $364.40 | $467.05 | $632.91 |
Ambetter
| Professional | AA | $135.59 | $277.06 | $920.00 |
Ambetter
| Professional | QZ | $135.52 | $200.60 | $828.00 |