| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $819.00 | $819.00 | $819.00 |
Aetna
| Professional | AA | $876.90 | $1,258.00 | $1,729.75 |
Cigna
| Professional | AA | $465.43 | $465.43 | $528.90 |
Anes Nrv/Mus/Tnd/Fasc Lower Leg/Ankle/Foot Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $819.00 | $819.00 | $819.00 |
Aetna
| Professional | AA | $876.90 | $1,258.00 | $1,729.75 |
Cigna
| Professional | AA | $465.43 | $465.43 | $528.90 |