| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $840.00 | $840.00 | $840.00 |
Aetna
| Professional | QZ | $462.80 | $462.80 | $462.80 |
Ambetter
| Professional | QZ | $357.00 | $357.00 | $357.00 |
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 | $462.80 | $462.80 | $462.80 |
Ambetter
| Professional | QZ | $357.00 | $357.00 | $357.00 |