| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,778.28 | $2,344.23 | $2,951.21 |
Ambetter
| Professional | AA | $407.38 | $407.38 | $407.38 |
Ambetter
| Professional | QZ | $323.59 | $323.59 | $323.59 |
BCBS
| Professional | QZ | $194.98 | $436.52 | $575.44 |
Health Alliance Plan
| Professional | AA | $1,778.28 | $2,290.87 | $2,951.21 |