| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $76.37 | $96.36 | $147.84 | |
Medica
| Professional | $874.00 | $874.00 | $874.00 |
Rad-Diagnos Ultrasound
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $76.37 | $96.36 | $147.84 | |
Medica
| Professional | $874.00 | $874.00 | $874.00 |