| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $454.24 | $454.24 | $454.24 | |
Medica
| Professional | $1,651.71 | $1,651.71 | $1,651.71 |
Perm Flp Tub Occls W/Implant Transcrv Approach
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $454.24 | $454.24 | $454.24 | |
Medica
| Professional | $1,651.71 | $1,651.71 | $1,651.71 |