| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | AA | $342.85 | $342.85 | $428.56 |
Wellmark
| Professional | QX | $161.94 | $205.00 | $205.00 |
Anes Perq Img Dstrj Px Nulyt Agt Spi/Sp Lmbr/Sac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | AA | $342.85 | $342.85 | $428.56 |
Wellmark
| Professional | QX | $161.94 | $205.00 | $205.00 |