| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Professional | $64,999.35 | $64,999.35 | $64,999.35 |
Unspecified Diagnostic Procedure, By Report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Capital Blue Cross
| Professional | $64,999.35 | $64,999.35 | $64,999.35 |