| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $40,083.60 | $40,083.60 | $51,335.19 |
Compre Ep Eval Abltj 3d Mapg Tx Svt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $40,083.60 | $40,083.60 | $51,335.19 |