| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $141.25 | $316.23 | $436.52 |
Njxs Infus/Bolus Dx/Sbst Edrl/Subarach Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $141.25 | $316.23 | $436.52 |