| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
MVP Health Care
| Facility | $254.50 | $254.50 | $254.50 | |
MVP Health Care
| Professional | $150.79 | $150.79 | $150.79 |
Radj Dlvr 1 Area 1/Prll Opsd Ports Smpl 11-19Mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
MVP Health Care
| Facility | $254.50 | $254.50 | $254.50 | |
MVP Health Care
| Professional | $150.79 | $150.79 | $150.79 |