| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $831.76 | $933.25 | $1,174.90 |
Aetna
| Professional | QZ | $691.83 | $691.83 | $741.31 |
Ambetter
| Professional | AA | $389.05 | $389.05 | $389.05 |
Ambetter
| Professional | QZ | $158.49 | $158.49 | $173.78 |