| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $197.34 | $489.68 | $489.68 | |
Medica
| Professional | $433.18 | $433.18 | $433.18 |
Us Study Follow Up
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $197.34 | $489.68 | $489.68 | |
Medica
| Professional | $433.18 | $433.18 | $433.18 |