| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $6,093.00 | $7,759.00 | $14,524.00 | |
Hometown Health
| Professional | $29.40 | $1,478.73 | $2,742.45 | |
Hometown Health
| Professional | $25.20 | $25.20 | $1,585.23 |
Lam&Sctj Dentate Lig W/Wo Dural Grf Crv 1/2 Seg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $6,093.00 | $7,759.00 | $14,524.00 | |
Hometown Health
| Professional | $29.40 | $1,478.73 | $2,742.45 | |
Hometown Health
| Professional | $25.20 | $25.20 | $1,585.23 |