| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $489.78 | $758.58 | $1,548.82 |
Aetna
| Professional | QZ | $363.08 | $512.86 | $1,202.26 |
Ambetter
| Professional | AA | $158.49 | $245.47 | $616.60 |
Ambetter
| Professional | QZ | $245.47 | $436.52 | $1,047.13 |