| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | AA | $1,401.46 | $1,401.46 | $1,401.46 |
Ambetter
| Professional | QZ | $334.95 | $365.40 | $609.00 |
Anes Nrv Musc Tndn Fscia Bursa Shoulder & Axilla
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | AA | $1,401.46 | $1,401.46 | $1,401.46 |
Ambetter
| Professional | QZ | $334.95 | $365.40 | $609.00 |