| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $762.24 | $1,018.35 | $1,428.27 |
Martin's Point
| Facility | QX | $762.24 | $762.24 | $1,428.27 |
Anesthesia Extensive Spine & Spinal Cord
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $762.24 | $1,018.35 | $1,428.27 |
Martin's Point
| Facility | QX | $762.24 | $762.24 | $1,428.27 |