| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $220.06 | $362.58 | $362.58 | |
Medica
| Professional | $653.00 | $653.00 | $653.00 |
Elec Alys Nstim Pls Gen Cplx Dp Brn Ea 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $220.06 | $362.58 | $362.58 | |
Medica
| Professional | $653.00 | $653.00 | $653.00 |