| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | AA | $100.25 | $100.25 | $100.25 |
Anes Dx/Ther Nrv Blk/Njx Oth/Thn Prone Pos
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Professional | AA | $100.25 | $100.25 | $100.25 |