| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Professional | $115.94 | $194.85 | $243.27 |
Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 6-10Mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Horizon BCBS
| Professional | $115.94 | $194.85 | $243.27 |