| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Professional | $117.70 | $213.84 | $413.41 |
Rad S&I Perq Vrtpls/Sacrplsty Pr Vrt Body Fluo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Professional | $117.70 | $213.84 | $413.41 |