| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $54,257.50 | $54,257.50 | $67,792.50 |
Compre Ep Eval Abltj 3d Mapg Tx Vt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $54,257.50 | $54,257.50 | $67,792.50 |