| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $848.64 | $848.64 | $2,271.88 |
Aetna
| Facility | QX | $2,926.00 | $2,926.00 | $3,179.90 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $848.64 | $848.64 | $2,271.88 |
Aetna
| Facility | QX | $2,926.00 | $2,926.00 | $3,179.90 |