| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $870.96 | $1,071.52 | $2,089.30 |
Aetna
| Professional | QZ | $537.03 | $794.33 | $851.14 |
Ambetter
| Professional | AA | $213.80 | $213.80 | $281.84 |
Ambetter
| Professional | QZ | $199.53 | $234.42 | $724.44 |