| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3,754.82 | $3,754.82 | $4,172.17 |
Colsc Flx W/Ndsc Us Xm Rctm Et Al Lmtd&Adj Strux
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3,754.82 | $3,754.82 | $4,172.17 |