| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $90.51 | $202.29 | $627.45 | |
Medica
| Professional | $605.00 | $716.38 | $716.38 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $90.51 | $202.29 | $627.45 | |
Medica
| Professional | $605.00 | $716.38 | $716.38 |