| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $994.25 | $994.25 | $994.25 |
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; adrenalectomy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $994.25 | $994.25 | $994.25 |