| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $2,041.74 | $2,691.53 | $4,365.16 |
Aetna
| Professional | QZ | $977.24 | $2,951.21 | $2,951.21 |
Ambetter
| Professional | AA | $239.88 | $1,949.84 | $3,019.95 |
Ambetter
| Professional | QZ | $263.03 | $2,884.03 | $3,388.44 |