| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $436.52 | $1,071.52 | $2,344.23 |
Aetna
| Professional | QZ | $177.83 | $851.14 | $1,778.28 |
Ambetter
| Professional | AA | $223.87 | $1,548.82 | $2,344.23 |
Ambetter
| Professional | QZ | $199.53 | $331.13 | $1,819.70 |