| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $715.00 | $715.00 | $715.00 |
Ambetter
| Professional | QZ | $471.66 | $471.66 | $471.66 |
Cigna
| Professional | AA | $342.85 | $342.85 | $428.56 |
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 | $715.00 | $715.00 | $715.00 |
Ambetter
| Professional | QZ | $471.66 | $471.66 | $471.66 |
Cigna
| Professional | AA | $342.85 | $342.85 | $428.56 |