| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $471.24 | $471.24 | $471.24 |
Nsl Ndsc Surg Ethmd Sin Plmt Drug Elutng Implnt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $471.24 | $471.24 | $471.24 |