| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $1,101.24 | $1,101.24 | $1,101.24 |
Highmark BCBS
| Professional | AA | $232.92 | $438.08 | $997.50 |
Highmark BCBS
| Professional | QZ | $562.50 | $720.00 | $1,042.50 |
Anes Integ Extremities Ant Trunk & Perineum Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $1,101.24 | $1,101.24 | $1,101.24 |
Highmark BCBS
| Professional | AA | $232.92 | $438.08 | $997.50 |
Highmark BCBS
| Professional | QZ | $562.50 | $720.00 | $1,042.50 |