| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $55.00 | $55.00 | |
Medica
| Professional | $14,233.00 | $14,233.00 | $14,233.00 |
Obltrj Aortopulmonary Septal Defect W/O Bypass
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $55.00 | $55.00 | |
Medica
| Professional | $14,233.00 | $14,233.00 | $14,233.00 |