| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $388.00 | $388.00 | $388.00 |
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; total cystectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $388.00 | $388.00 | $388.00 |