| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $134.29 | $357.10 | $463.70 |
Njx Infus/Bolus Dx/Sbst Edrl/Subarach Lum/Sacral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $134.29 | $357.10 | $463.70 |