| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $616.60 | $1,096.48 | $1,318.26 |
Ambetter
| Professional | AA | $309.03 | $354.81 | $457.09 |
Ambetter
| Professional | QZ | $177.83 | $177.83 | $616.60 |
BCBS
| Professional | AA | $147.91 | $245.47 | $323.59 |
BCBS
| Professional | QZ | $95.50 | $165.96 | $263.03 |