| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $678.60 | $678.60 | $678.60 |
Aetna
| Professional | QZ | $523.79 | $563.02 | $563.02 |
Ambetter
| Professional | QZ | $271.18 | $900.00 | $1,200.00 |
Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $678.60 | $678.60 | $678.60 |
Aetna
| Professional | QZ | $523.79 | $563.02 | $563.02 |
Ambetter
| Professional | QZ | $271.18 | $900.00 | $1,200.00 |