| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,540.00 | $1,887.00 | $1,938.00 |
Aetna
| Professional | QZ | $228.94 | $1,856.40 | $1,856.40 |
Cigna
| Professional | AA | $698.15 | $698.15 | $793.35 |
Anes Perq Img Neuromd/Ntrvrt Px Spi/Sp Lmbr/Sac
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $1,540.00 | $1,887.00 | $1,938.00 |
Aetna
| Professional | QZ | $228.94 | $1,856.40 | $1,856.40 |
Cigna
| Professional | AA | $698.15 | $698.15 | $793.35 |