| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $1,684.00 | $3,523.43 | $5,669.28 |
Other Antepartum Diagnoses W O Medical Complications
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $1,684.00 | $3,523.43 | $5,669.28 |