| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $199.53 | $199.53 | $199.53 | |
Wellcare
| Facility | $100.00 | $100.00 | $104.71 | |
Wellcare
| Professional | $104.71 | $104.71 | $104.71 |
Unspecified Adjunctive Procedure, By Report
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $199.53 | $199.53 | $199.53 | |
Wellcare
| Facility | $100.00 | $100.00 | $104.71 | |
Wellcare
| Professional | $104.71 | $104.71 | $104.71 |