| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $258.92 | $385.46 | $385.46 | |
United
| Professional | $355.60 | $461.42 | $556.89 |
Im/Repl Cartd Sins Barreflx Act Dev Pls Gen Only
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $258.92 | $385.46 | $385.46 | |
United
| Professional | $355.60 | $461.42 | $556.89 |