| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $830.92 | $1,055.08 | $1,227.18 |
Optx&/Rdctj Vrt Fx&/Dislc Pst 1 Vrt Sgm Ea
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $830.92 | $1,055.08 | $1,227.18 |