| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,260.00 | $1,820.00 | $4,060.00 |
Aetna
| Professional | QZ | $582.40 | $582.40 | $623.70 |
Ambetter
| Professional | QZ | $258.57 | $258.57 | $612.00 |
Anes Extraperitoneal Lwr Abd W/Urinary Tract Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,260.00 | $1,820.00 | $4,060.00 |
Aetna
| Professional | QZ | $582.40 | $582.40 | $623.70 |
Ambetter
| Professional | QZ | $258.57 | $258.57 | $612.00 |