| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $147.00 | $184.00 | $200.00 |
Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 6-10Mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $147.00 | $184.00 | $200.00 |