| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,659.59 | $2,398.83 | $3,090.30 |
Ambetter
| Professional | AA | $239.88 | $239.88 | $239.88 |
Ambetter
| Professional | QZ | $263.03 | $263.03 | $912.01 |
BCBS
| Professional | QZ | $257.04 | $575.44 | $776.25 |
Health Alliance Plan
| Professional | AA | $1,659.59 | $2,344.23 | $3,090.30 |