| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $549.54 | $549.54 | $891.25 |
Aetna
| Professional | QZ | $398.11 | $549.54 | $1,174.90 |
Ambetter
| Professional | QZ | $537.03 | $537.03 | $537.03 |
Cigna
| Professional | AA | $354.81 | $354.81 | $436.52 |