| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $110.22 | $287.81 | $350.41 |
Njx Infus/Bolus Dx/Sbst Edrl/Subarach Lum/Sacral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Providence
| Facility | $110.22 | $287.81 | $350.41 |