| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,120.00 | $1,120.00 | $1,540.00 |
Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Lmbr/Sac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,120.00 | $1,120.00 | $1,540.00 |