| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $269.26 | $611.36 | $1,124.00 | |
Medica
| Professional | $6,266.00 | $6,266.00 | $6,266.00 |
Rad-Diag Rad Diag Imaging
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $269.26 | $611.36 | $1,124.00 | |
Medica
| Professional | $6,266.00 | $6,266.00 | $6,266.00 |