| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $172.30 | $172.30 | $172.30 |
BCBS
| Professional | AA | $175.00 | $292.50 | $425.90 |
BCBS
| Professional | QZ | $140.00 | $200.00 | $302.50 |
Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $172.30 | $172.30 | $172.30 |
BCBS
| Professional | AA | $175.00 | $292.50 | $425.90 |
BCBS
| Professional | QZ | $140.00 | $200.00 | $302.50 |