| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Professional | $139.88 | $195.85 | $233.15 |
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 | $139.88 | $195.85 | $233.15 |