| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Quartz
| Facility | $579.41 | $579.41 | $579.41 |
Visco-3 Inj Dose
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Quartz
| Facility | $579.41 | $579.41 | $579.41 |