| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $575.44 | $1,202.26 | $2,238.72 |
Aetna
| Professional | QZ | $223.87 | $831.76 | $1,584.89 |
Ambetter
| Professional | AA | $218.78 | $281.84 | $645.65 |
Ambetter
| Professional | QZ | $199.53 | $199.53 | $239.88 |