| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $632.91 | $632.91 | $632.91 |
Ambetter
| Professional | AA | $271.18 | $503.62 | $828.00 |
Ambetter
| Professional | QZ | $154.96 | $154.96 | $1,012.00 |
Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Lmbr/Sac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $632.91 | $632.91 | $632.91 |
Ambetter
| Professional | AA | $271.18 | $503.62 | $828.00 |
Ambetter
| Professional | QZ | $154.96 | $154.96 | $1,012.00 |