| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,614.00 | $9,200.00 | $18,942.00 | |
CareSource
| Facility | $43,749.56 | $65,624.35 | $89,999.10 |
Introduction of mixture of saline and air for sonosalpingography to confirm occlusion of fallopian tubes, transcervical approach, including transvaginal ultrasound and pelvic ultrasound
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $1,614.00 | $9,200.00 | $18,942.00 | |
CareSource
| Facility | $43,749.56 | $65,624.35 | $89,999.10 |