| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $76.51 | $183.22 | $627.09 | |
Medica
| Professional | $1,261.94 | $1,261.94 | $1,261.94 |
High Energy Neutron Radiation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $76.51 | $183.22 | $627.09 | |
Medica
| Professional | $1,261.94 | $1,261.94 | $1,261.94 |