| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $380.19 | $977.24 | $977.24 |
HMSA
| Professional | QZ | $3.72 | $3.98 | $4.37 |
Anesthesia for extraperitoneal procedures in lower abdomen, including urinary tract; not otherwise specified
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | AA | $380.19 | $977.24 | $977.24 |
HMSA
| Professional | QZ | $3.72 | $3.98 | $4.37 |