| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | AA | $960.30 | $960.30 | $960.30 |
Martin's Point
| Facility | AA | $960.30 | $960.30 | $960.30 |
Anes Nrv Musc Tdn Fsca&Brs Upr Arm/Elbow Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | AA | $960.30 | $960.30 | $960.30 |
Martin's Point
| Facility | AA | $960.30 | $960.30 | $960.30 |