| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $702.27 | $702.27 | $1,787.58 |
Aetna
| Facility | QX | $578.34 | $578.34 | $1,472.13 |
Anes Insj Penile Prosth Prnl Incl Open Urtl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $702.27 | $702.27 | $1,787.58 |
Aetna
| Facility | QX | $578.34 | $578.34 | $1,472.13 |