| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QX | $535.28 | $535.28 | $535.28 |
Cigna
| Professional | AA | $581.79 | $581.79 | $661.13 |
Anes Perq Img Dstrj Px Nulyt Agt Spi/Sp Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QX | $535.28 | $535.28 | $535.28 |
Cigna
| Professional | AA | $581.79 | $581.79 | $661.13 |