| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,473.74 | $2,165.80 | $2,165.80 |
Aetna
| Professional | QZ | $1,298.70 | $1,298.70 | $1,298.70 |
Cigna
| Professional | AA | $698.15 | $698.15 | $793.35 |
Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,473.74 | $2,165.80 | $2,165.80 |
Aetna
| Professional | QZ | $1,298.70 | $1,298.70 | $1,298.70 |
Cigna
| Professional | AA | $698.15 | $698.15 | $793.35 |