| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $437.57 | $437.57 | $437.57 | |
Medica
| Professional | $586.87 | $586.87 | $586.87 | |
Midlands
| Professional | $310.43 | $310.43 | $310.43 |
Sin Ndsc Plmt Drg Elut Mplnt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $437.57 | $437.57 | $437.57 | |
Medica
| Professional | $586.87 | $586.87 | $586.87 | |
Midlands
| Professional | $310.43 | $310.43 | $310.43 |