| 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 | $176.18 | $176.18 | $176.18 |
Radj Dlvr 2 Areas 3/>Ports 1 Mlt Blks 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 | $176.18 | $176.18 | $176.18 |