| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | QZ | $148.88 | $148.88 | $148.88 |
BCBS
| Professional | QX | $78.31 | $153.00 | $203.40 |
BCBS
| Professional | QZ | $147.91 | $289.00 | $384.20 |
Anes Perq Img Dstrj Px Nulyt Agt Spi/Sp Lmbr/Sac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | QZ | $148.88 | $148.88 | $148.88 |
BCBS
| Professional | QX | $78.31 | $153.00 | $203.40 |
BCBS
| Professional | QZ | $147.91 | $289.00 | $384.20 |