| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $504.50 | $504.50 | $504.50 |
Ambetter
| Professional | QZ | $98.95 | $135.16 | $143.36 |
Anes Perq Img Dstrj Px Nulyt Agt Spi/Sp Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $504.50 | $504.50 | $504.50 |
Ambetter
| Professional | QZ | $98.95 | $135.16 | $143.36 |