| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $55.00 | $3,181.37 | |
Medica
| Professional | $1,793.57 | $1,793.57 | $1,793.57 |
Iv Us Non-C Vsl Dx Eval&/Ther Ivntj 1St Vsl
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $55.00 | $3,181.37 | |
Medica
| Professional | $1,793.57 | $1,793.57 | $1,793.57 |