| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $719.61 | $719.61 | $850.85 |
Aetna
| Facility | QX | $910.00 | $910.00 | $1,401.40 |
Anes Colptmy Vagnc Colprphy Incl Bx W/Opn Urtl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QK | $719.61 | $719.61 | $850.85 |
Aetna
| Facility | QX | $910.00 | $910.00 | $1,401.40 |