| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $549.54 | $1,000.00 | $1,778.28 |
Aetna
| Professional | QZ | $213.80 | $776.25 | $1,096.48 |
Ambetter
| Professional | AA | $295.12 | $512.86 | $645.65 |
Ambetter
| Professional | QZ | $117.49 | $457.09 | $933.25 |