| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $450.00 | $453.45 | |
Providence
| Professional | QX | $145.00 | $180.00 | $206.30 |
Providence
| Professional | QY | $145.00 | $180.00 | $206.30 |
Anes Perq Img Njx Drg/Aspir Px Spi/Sp Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $450.00 | $450.00 | $453.45 | |
Providence
| Professional | QX | $145.00 | $180.00 | $206.30 |
Providence
| Professional | QY | $145.00 | $180.00 | $206.30 |