| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $839.30 | $840.00 | $1,108.80 |
Aetna
| Professional | QZ | $1,118.00 | $1,118.00 | $1,118.00 |
Anes Nerve Musc Tendon Fascia&Bursa Knee&/Poplt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $839.30 | $840.00 | $1,108.80 |
Aetna
| Professional | QZ | $1,118.00 | $1,118.00 | $1,118.00 |