| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $4,268.75 | $5,694.18 | |
Medica
| Professional | $8,992.00 | $8,992.00 | $8,992.00 |
Surgery-Intergumentary System
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $4,268.75 | $5,694.18 | |
Medica
| Professional | $8,992.00 | $8,992.00 | $8,992.00 |