| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $478.63 | $1,202.26 | $1,737.80 |
Ambetter
| Professional | AA | $234.42 | $234.42 | $1,174.90 |
Ambetter
| Professional | QZ | $323.59 | $457.09 | $1,288.25 |
Cigna
| Professional | AA | $416.87 | $416.87 | $524.81 |