| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $494.40 | $494.40 | $494.40 |
Anes Nerve Musc Tendon Fascia&Bursa Knee&/Poplt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $494.40 | $494.40 | $494.40 |