| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,258.93 | $1,380.38 | $2,137.96 |
Aetna
| Professional | QZ | $741.31 | $741.31 | $977.24 |
Ambetter
| Professional | AA | $263.03 | $537.03 | $1,513.56 |
Ambetter
| Professional | QZ | $275.42 | $363.08 | $1,288.25 |