| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
ConnectiCare
| Professional | $95.10 | $95.10 | $95.10 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
ConnectiCare
| Professional | $95.10 | $95.10 | $95.10 |