| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,000.00 | $2,000.00 | $2,000.00 | |
Medica
| Professional | $5,897.00 | $5,897.00 | $5,897.00 |
Surgery-Intergumentary System
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,000.00 | $2,000.00 | $2,000.00 | |
Medica
| Professional | $5,897.00 | $5,897.00 | $5,897.00 |