| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,324.32 | $1,324.32 | $1,324.32 |
Ambetter
| Professional | QZ | $357.00 | $357.00 | $357.00 |
BCBS
| Professional | AA | $140.00 | $234.00 | $340.72 |
BCBS
| Professional | QZ | $112.00 | $160.00 | $242.00 |