| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $203.10 | $920.79 | $920.79 |
Martin's Point
| Facility | QX | $203.10 | $203.10 | $920.79 |
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $203.10 | $920.79 | $920.79 |
Martin's Point
| Facility | QX | $203.10 | $203.10 | $920.79 |