| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $806.49 | $984.56 | $2,537.96 | |
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 | $806.49 | $984.56 | $2,537.96 | |
Medica
| Professional | $3,225.29 | $3,225.29 | $3,225.29 |