| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $105.32 | $278.76 | $476.74 | |
Medica
| Professional | $1,182.00 | $1,587.96 | $1,587.96 |
Njxs Infus/Bolus Dx/Sbst Edrl/Subarach Crv/Thrc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $105.32 | $278.76 | $476.74 | |
Medica
| Professional | $1,182.00 | $1,587.96 | $1,587.96 |