| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $48.00 | $340.00 | |
Ambetter
| Professional | QZ | $146.33 | $146.33 | $191.20 |
Anes Perq Img Njx Drg/Aspir Px Spi/Sp Lmbr/Sac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $40.00 | $48.00 | $340.00 | |
Ambetter
| Professional | QZ | $146.33 | $146.33 | $191.20 |