| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3,787.37 | $4,417.84 | $6,215.58 | |
Health Alliance Plan
| Facility | $900.67 | $4,933.00 | $4,933.00 |
Opn Subcla Crtd Art Trpos Nck Inc Ulat
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3,787.37 | $4,417.84 | $6,215.58 | |
Health Alliance Plan
| Facility | $900.67 | $4,933.00 | $4,933.00 |