| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $514.37 | $659.37 | $1,081.58 | |
Medica
| Professional | $2,111.90 | $2,111.90 | $2,136.89 |
Cltx Pel Ring Fx Dislc Diast/Sublxtj W/O Manj
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $514.37 | $659.37 | $1,081.58 | |
Medica
| Professional | $2,111.90 | $2,111.90 | $2,136.89 |