| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $141.66 | $447.07 | $574.32 |
Njxs Infus/Bolus Dx/Sbst Edrl/Subarach Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $141.66 | $447.07 | $574.32 |