| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $331.62 | $421.48 | $736.80 | |
Medica
| Professional | $1,611.85 | $1,611.85 | $1,611.85 |
Rad S&I Perq Vrtpls/Sacrplsty Per Vrt Body Ct
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $331.62 | $421.48 | $736.80 | |
Medica
| Professional | $1,611.85 | $1,611.85 | $1,611.85 |