| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $22,243.00 | $22,243.00 | $24,714.00 |
Lam&Sctj Dentate Lig W/Wo Dural Grf Crv >2 Seg
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $22,243.00 | $22,243.00 | $24,714.00 |