| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $645.00 | $645.00 | $645.00 |
Aetna
| Professional | QZ | $563.02 | $563.02 | $563.02 |
Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $645.00 | $645.00 | $645.00 |
Aetna
| Professional | QZ | $563.02 | $563.02 | $563.02 |