| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $2,398.83 | $2,691.53 | $3,467.37 |
Ambetter
| Professional | AA | $323.59 | $323.59 | $323.59 |
Ambetter
| Professional | QZ | $363.08 | $363.08 | $363.08 |
BCBS
| Professional | QZ | $724.44 | $741.31 | $741.31 |
Health Alliance Plan
| Professional | AA | $2,398.83 | $2,691.53 | $3,467.37 |