| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $134.19 | $134.19 | $147.61 | |
BCBS
| Professional | $127.80 | $127.80 | $127.80 |
Ffs - Not Available
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $134.19 | $134.19 | $147.61 | |
BCBS
| Professional | $127.80 | $127.80 | $127.80 |