| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $836.24 | $836.24 | $836.24 |
Martin's Point
| Facility | QX | $836.24 | $836.24 | $836.24 |
Anesthesia for procedures on bony pelvis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | QX | $836.24 | $836.24 | $836.24 |
Martin's Point
| Facility | QX | $836.24 | $836.24 | $836.24 |