| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $336.00 | $336.00 | $585.44 |
Ambetter
| Professional | AA | $422.55 | $422.55 | $422.55 |
Ambetter
| Professional | QZ | $310.24 | $310.24 | $310.24 |
Cigna
| Professional | AA | $274.27 | $274.27 | $342.85 |