| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $9.63 | $23.64 | $85.00 | |
Medica
| Professional | $249.57 | $249.57 | $249.57 |
Moderate Sedatj Same Phys/Qhp Each Addl 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $9.63 | $23.64 | $85.00 | |
Medica
| Professional | $249.57 | $249.57 | $249.57 |