| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $774.69 | $774.69 | $774.69 | |
Medica
| Professional | $1,769.44 | $1,769.44 | $1,769.44 |
Liver Image (3d) With Flow
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $774.69 | $774.69 | $774.69 | |
Medica
| Professional | $1,769.44 | $1,769.44 | $1,769.44 |