| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $117.49 | $489.78 | $489.78 | |
Medica
| Professional | $436.52 | $436.52 | $436.52 |
Us Study Follow Up
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $117.49 | $489.78 | $489.78 | |
Medica
| Professional | $436.52 | $436.52 | $436.52 |