| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $674.10 | $674.10 | $674.10 |
Ambetter
| Professional | AA | $186.57 | $612.00 | $1,380.00 |
Ambetter
| Professional | QZ | $124.38 | $1,380.00 | $2,080.00 |
Anes Nerve Musc Tendon Fascia&Bursa Knee&/Poplt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $674.10 | $674.10 | $674.10 |
Ambetter
| Professional | AA | $186.57 | $612.00 | $1,380.00 |
Ambetter
| Professional | QZ | $124.38 | $1,380.00 | $2,080.00 |