| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $758.58 | $1,071.52 | $2,089.30 |
Aetna
| Professional | QZ | $138.04 | $602.56 | $1,479.11 |
Ambetter
| Professional | AA | $218.78 | $354.81 | $1,071.52 |
Ambetter
| Professional | QZ | $194.98 | $263.03 | $1,047.13 |