| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,229.10 | $1,229.10 | $1,574.12 |
Cltx Fx W8 Brg Artclr Prtn Dstl Tib W/Skel Tracj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $1,229.10 | $1,229.10 | $1,574.12 |