| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $1,275.00 | $1,275.00 | $1,275.00 |
Aetna
| Facility | QX | $1,050.00 | $1,050.00 | $1,050.00 |
Anesthesia External Middle & Inner Ear W/Bx Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $1,275.00 | $1,275.00 | $1,275.00 |
Aetna
| Facility | QX | $1,050.00 | $1,050.00 | $1,050.00 |