| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $339.50 | $339.50 | $339.50 |
Anes Intracranial/Elevation Deprsd Skull Fx Xdrl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $339.50 | $339.50 | $339.50 |