| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $307.10 | $2,014.19 | $2,014.19 |
Aetna
| Professional | QZ | $477.30 | $477.30 | $1,102.28 |
Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Lmbr/Sac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $307.10 | $2,014.19 | $2,014.19 |
Aetna
| Professional | QZ | $477.30 | $477.30 | $1,102.28 |