| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $108.07 | $108.07 | $700.00 |
Providence
| Professional | QX | $162.50 | $181.00 | $206.30 |
Providence
| Professional | QY | $162.50 | $181.00 | $206.30 |
Anesthesia for percutaneous image-guided injection, drainage or aspiration procedures on the spine or spinal cord; lumbar or sacral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $108.07 | $108.07 | $700.00 |
Providence
| Professional | QX | $162.50 | $181.00 | $206.30 |
Providence
| Professional | QY | $162.50 | $181.00 | $206.30 |