| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $54.95 | $1,047.13 | $7,413.10 | |
Medica
| Professional | $4,265.80 | $4,265.80 | $4,265.80 |
Expl N/Flwd Surg Rpr W/Wo Lysis Other Artery
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $54.95 | $1,047.13 | $7,413.10 | |
Medica
| Professional | $4,265.80 | $4,265.80 | $4,265.80 |