| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $575.44 | $1,202.26 | $2,041.74 |
Aetna
| Professional | QZ | $338.84 | $851.14 | $1,698.24 |
Ambetter
| Professional | AA | $181.97 | $707.95 | $1,659.59 |
Ambetter
| Professional | QZ | $151.36 | $524.81 | $1,445.44 |