| 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 | $32.20 | $1,636.85 | $3,012.15 | |
Hometown Health
| Professional | $27.60 | $27.60 | $1,741.13 |
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 | $6,093.00 | $7,759.00 | $14,524.00 | |
Hometown Health
| Professional | $32.20 | $1,636.85 | $3,012.15 | |
Hometown Health
| Professional | $27.60 | $27.60 | $1,741.13 |