| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $1,684.00 | $38,286.93 | $63,020.97 |
Prostatic O R Procedure Unrelated To Principal Diagnosis W Mcc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Blue Shield
| Facility | $1,684.00 | $38,286.93 | $63,020.97 |