| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $887.80 | $1,092.61 | $16,394.00 | |
Medica
| Professional | $3,225.29 | $3,225.29 | $3,225.29 |
Cltx Pel Ring Fx Dislc Diast/Sublxtj W/Manj Anes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $887.80 | $1,092.61 | $16,394.00 | |
Medica
| Professional | $3,225.29 | $3,225.29 | $3,225.29 |