| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $43,749.56 | $52,499.48 | $89,999.10 |
Periph Field Stimul Trial
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $43,749.56 | $52,499.48 | $89,999.10 |