| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $983.45 | $983.45 | $1,260.00 |
HMSA
| Professional | QZ | $3.72 | $4.18 | $4.38 |
Anes Extraperitoneal Lwr Abd W/Urinary Tract Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $983.45 | $983.45 | $1,260.00 |
HMSA
| Professional | QZ | $3.72 | $4.18 | $4.38 |