| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $562.34 | $1,148.15 | $1,819.70 |
Aetna
| Professional | QZ | $436.52 | $588.84 | $1,000.00 |
Ambetter
| Professional | AA | $158.49 | $181.97 | $257.04 |
Ambetter
| Professional | QZ | $144.54 | $181.97 | $218.78 |