| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $209.02 | $209.02 | $209.02 |
Respir Pthgn Mult Rev Trans&Amp Prb Tech 21 Trgt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $209.02 | $209.02 | $209.02 |