| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $100.83 | $388.15 | $388.15 | |
Midlands
| Professional | $100.83 | $108.26 | $108.26 |
Rec Ftl Car Sgl Pt Rec Scan W/Raw Elec Tr Data
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Professional | $100.83 | $388.15 | $388.15 | |
Midlands
| Professional | $100.83 | $108.26 | $108.26 |