| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $552.72 | $742.14 | $16,394.00 | |
Medica
| Professional | $2,955.00 | $2,955.00 | $2,955.00 |
Surgery-Musculoskeletal System
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $552.72 | $742.14 | $16,394.00 | |
Medica
| Professional | $2,955.00 | $2,955.00 | $2,955.00 |