| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $55.00 | $55.00 | |
Medica
| Professional | $11,725.87 | $11,725.87 | $11,725.87 |
Trnsxj/Lig Crtd Art Petrous Canal Rpr Anast/Grf
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $55.00 | $55.00 | $55.00 | |
Medica
| Professional | $11,725.87 | $11,725.87 | $11,725.87 |