| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,647.62 | $3,647.62 | $4,377.14 | |
Medica
| Professional | $8,804.60 | $8,804.60 | $8,804.60 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,647.62 | $3,647.62 | $4,377.14 | |
Medica
| Professional | $8,804.60 | $8,804.60 | $8,804.60 |