| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $101.26 | $219.54 | $414.85 | |
Medica
| Professional | $295.44 | $716.38 | $716.38 |
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| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $101.26 | $219.54 | $414.85 | |
Medica
| Professional | $295.44 | $716.38 | $716.38 |