| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $169.07 | $349.43 | $722.14 | |
Medica
| Professional | $1,577.03 | $1,577.03 | $1,577.03 |
Rad S&I Perq Vrtpls/Sacrplsty Pr Vrt Body Fluo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $169.07 | $349.43 | $722.14 | |
Medica
| Professional | $1,577.03 | $1,577.03 | $1,577.03 |