| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,010.00 | $2,045.00 | $2,978.00 | |
CareSource
| Facility | $12,249.87 | $55,999.44 | $83,999.17 | |
CareSource
| Professional | $74,024.27 | $104,998.95 | $104,998.95 |
Supchrdl Njx Of Rx Agt W/O Supply Of Medication
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,010.00 | $2,045.00 | $2,978.00 | |
CareSource
| Facility | $12,249.87 | $55,999.44 | $83,999.17 | |
CareSource
| Professional | $74,024.27 | $104,998.95 | $104,998.95 |