| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $141.25 | $165.96 | $263.03 |
Radj Dlvr 2 Areas 3/>Ports 1 Mlt Blks 6-1Mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $141.25 | $165.96 | $263.03 |