| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.00 | $450.70 | $450.70 | |
Ambetter
| Professional | AA | $396.00 | $396.00 | $396.00 |
Anes Perq Img Njx Drg/Aspir Px Spi/Sp Lmbr/Sac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $300.00 | $450.70 | $450.70 | |
Ambetter
| Professional | AA | $396.00 | $396.00 | $396.00 |