| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $339.89 | $627.29 | $627.29 | |
Medica
| Professional | $893.86 | $893.86 | $893.86 |
Radiological Examination, Gast
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $339.89 | $627.29 | $627.29 | |
Medica
| Professional | $893.86 | $893.86 | $893.86 |