| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $912.01 | $1,412.54 | $2,187.76 |
Aetna
| Professional | QZ | $138.04 | $691.83 | $1,479.11 |
Ambetter
| Professional | AA | $213.80 | $380.19 | $794.33 |
Ambetter
| Professional | QZ | $234.42 | $234.42 | $234.42 |