| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $660.69 | $1,479.11 | $3,235.94 |
Aetna
| Professional | QZ | $316.23 | $1,000.00 | $1,737.80 |
Ambetter
| Professional | AA | $134.90 | $218.78 | $954.99 |
Ambetter
| Professional | QZ | $218.78 | $281.84 | $295.12 |