| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $621.66 | $1,449.27 | $3,507.63 | |
Health Alliance Plan
| Facility | $350.00 | $350.00 | $350.00 |
Ccpd / Composite Or Other Ra
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $621.66 | $1,449.27 | $3,507.63 | |
Health Alliance Plan
| Facility | $350.00 | $350.00 | $350.00 |