| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $831.76 | $1,023.29 | $1,819.70 |
Aetna
| Professional | QZ | $537.03 | $676.08 | $1,000.00 |
Ambetter
| Professional | AA | $190.55 | $190.55 | $954.99 |
Ambetter
| Professional | QZ | $89.13 | $234.42 | $1,258.93 |
Cigna
| Professional | AA | $416.87 | $416.87 | $524.81 |