| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QZ | $577.20 | $577.20 | $577.20 |
Anes Closed Humrl H/N Strnclav Joint& Sho Joint
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QZ | $577.20 | $577.20 | $577.20 |