| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,174.90 | $1,174.90 | $2,951.21 | |
Medica
| Professional | $4,365.16 | $4,365.16 | $4,365.16 |
Mri Breast Bilateral
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,174.90 | $1,174.90 | $2,951.21 | |
Medica
| Professional | $4,365.16 | $4,365.16 | $4,365.16 |