| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $344.23 | $407.44 | $407.44 | |
Medica
| Professional | $796.67 | $796.67 | $796.67 |
Rec Ftl Car Sgl 3 Ch Pt Rec & Strg Data Scn I&R
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $344.23 | $407.44 | $407.44 | |
Medica
| Professional | $796.67 | $796.67 | $796.67 |