| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,532.20 | $3,532.20 | $3,532.20 | |
Medica
| Professional | $2,842.00 | $7,105.00 | $7,105.00 |
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,532.20 | $3,532.20 | $3,532.20 | |
Medica
| Professional | $2,842.00 | $7,105.00 | $7,105.00 |