| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $91.60 | $91.60 | $270.68 | |
Providence
| Facility | $310.23 | $310.23 | $310.23 |
Njx Dx/Ther Sbst Epidural/Subarach Lumbar/Sacral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $91.60 | $91.60 | $270.68 | |
Providence
| Facility | $310.23 | $310.23 | $310.23 |