| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $840.00 | $840.00 | $840.00 |
Aetna
| Professional | QZ | $689.48 | $689.48 | $689.48 |
Anes Nerve Musc Tendon Fascia&Bursa Knee&/Poplt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $840.00 | $840.00 | $840.00 |
Aetna
| Professional | QZ | $689.48 | $689.48 | $689.48 |