| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $55.00 | $55.00 | |
Medica
| Professional | $4,729.09 | $4,729.09 | $4,729.09 |
Tx Ectopic Pregnancy Ntrstl Req Tot Hyst
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $55.00 | $55.00 | |
Medica
| Professional | $4,729.09 | $4,729.09 | $4,729.09 |