| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $123.03 | $177.83 | $223.87 | |
Medcost
| Facility | $104.71 | $239.88 | $346.74 |
Radj Dlvr 2 Areas 3/>Ports 1 Mlt Blks 11-19Mev
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Professional | $123.03 | $177.83 | $223.87 | |
Medcost
| Facility | $104.71 | $239.88 | $346.74 |