| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $28.84 | $57.16 | $332.35 | |
Medica
| Professional | $272.41 | $272.41 | $272.41 |
Rad-Diag Rad Diag Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $28.84 | $57.16 | $332.35 | |
Medica
| Professional | $272.41 | $272.41 | $272.41 |