| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $79.72 | $101.60 | $171.58 | |
Medica
| Professional | $603.00 | $603.00 | $603.00 |
Rad-Radiation Oncology
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $79.72 | $101.60 | $171.58 | |
Medica
| Professional | $603.00 | $603.00 | $603.00 |