| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $7,628.00 | $7,628.00 | $7,628.00 | |
Horizon BCBS
| Professional | $217.40 | $404.52 | $936.74 |
Rad S&I Perq Vrtpls/Sacrplsty Per Vrt Body Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Facility | $7,628.00 | $7,628.00 | $7,628.00 | |
Horizon BCBS
| Professional | $217.40 | $404.52 | $936.74 |