| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $440.00 | $440.00 | $440.00 | |
Aetna
| Professional | AA | $1,323.27 | $1,323.27 | $1,323.27 |
Aetna
| Professional | QZ | $175.74 | $194.09 | $194.09 |
Anes Non-Invasive Imaging/Radiation Therapy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $440.00 | $440.00 | $440.00 | |
Aetna
| Professional | AA | $1,323.27 | $1,323.27 | $1,323.27 |
Aetna
| Professional | QZ | $175.74 | $194.09 | $194.09 |