| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $94.94 | $201.03 | $353.31 | |
Medica
| Professional | $887.00 | $2,600.00 | $2,600.00 |
Injection, Single, Not Including Neurolytic Substances, With Or Without Contrast, Of Diagnostic Or Therapeutic Substance
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $94.94 | $201.03 | $353.31 | |
Medica
| Professional | $887.00 | $2,600.00 | $2,600.00 |