| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $309.76 | $417.72 | $496.66 | |
Medcost
| Professional | $81.00 | $109.00 | $137.00 |
Rad S&I Perq Vrtpls/Sacrplsty Pr Vrt Body Fluo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $309.76 | $417.72 | $496.66 | |
Medcost
| Professional | $81.00 | $109.00 | $137.00 |