| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellmark
| Professional | QZ | $634.70 | $634.70 | $634.70 |
Anes Icra Icar/Aortic Ther Ivntl Rad Artl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Wellmark
| Professional | QZ | $634.70 | $634.70 | $634.70 |