| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $85.11 | $85.11 | $354.81 | |
Medica
| Professional | $467.74 | $467.74 | $467.74 |
Nsl Ndsc Surg Ethmd Sin Plmt Drug Elutng Implnt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $85.11 | $85.11 | $354.81 | |
Medica
| Professional | $467.74 | $467.74 | $467.74 |