| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $867.00 | $999.36 | $999.36 |
Aetna
| Professional | QZ | $1,300.50 | $1,300.50 | $1,300.50 |
Ambetter
| Professional | QZ | $182.55 | $182.55 | $182.55 |
Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $867.00 | $999.36 | $999.36 |
Aetna
| Professional | QZ | $1,300.50 | $1,300.50 | $1,300.50 |
Ambetter
| Professional | QZ | $182.55 | $182.55 | $182.55 |