| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $1,361.07 | $1,361.07 | $1,361.07 |
Anes Open/Surg Arthroscopic Elbow Proc Nos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $1,361.07 | $1,361.07 | $1,361.07 |