| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $537.03 | $776.25 | $1,412.54 |
Aetna
| Professional | QZ | $263.03 | $501.19 | $741.31 |
Ambetter
| Professional | AA | $177.83 | $309.03 | $512.86 |
Ambetter
| Professional | QZ | $141.25 | $204.17 | $562.34 |