| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,260.00 | $1,680.00 | $4,060.00 |
Aetna
| Professional | QZ | $727.20 | $727.20 | $727.20 |
Ambetter
| Professional | QZ | $1,494.92 | $1,494.92 | $1,494.92 |
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 | $1,680.00 | $4,060.00 |
Aetna
| Professional | QZ | $727.20 | $727.20 | $727.20 |
Ambetter
| Professional | QZ | $1,494.92 | $1,494.92 | $1,494.92 |