| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $228.94 | $424.58 | $424.58 |
Ambetter
| Professional | QZ | $266.61 | $266.61 | $266.61 |
Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Lmbr/Sac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | QZ | $228.94 | $424.58 | $424.58 |
Ambetter
| Professional | QZ | $266.61 | $266.61 | $266.61 |