| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $870.96 | $1,380.38 | $1,819.70 |
Aetna
| Professional | QZ | $263.03 | $812.83 | $1,174.90 |
Ambetter
| Professional | AA | $173.78 | $177.83 | $213.80 |
Ambetter
| Professional | QZ | $144.54 | $194.98 | $239.88 |