| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $120.20 | $120.20 | $164.64 | |
Well Sense
| Professional | $84.15 | $109.65 | $150.22 |
Prolonged Svc Outpatient Setting 1st Hour
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $120.20 | $120.20 | $164.64 | |
Well Sense
| Professional | $84.15 | $109.65 | $150.22 |