| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $478.63 | $660.69 | $1,288.25 | |
Medica
| Professional | $2,089.30 | $2,089.30 | $2,137.96 |
Cltx Pel Ring Fx Dislc Diast/Sublxtj W/O Manj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $478.63 | $660.69 | $1,288.25 | |
Medica
| Professional | $2,089.30 | $2,089.30 | $2,137.96 |