| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $66.98 | $102.42 | $155.99 | |
Medica
| Professional | $405.69 | $405.69 | $405.69 |
Us Breast Real Time W/Image Documentation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $66.98 | $102.42 | $155.99 | |
Medica
| Professional | $405.69 | $405.69 | $405.69 |