| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $24.69 | $25.02 | $47.29 | |
Medica
| Professional | $249.57 | $249.57 | $249.57 |
Mod Sedat Phys/Qhp Ea 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $24.69 | $25.02 | $47.29 | |
Medica
| Professional | $249.57 | $249.57 | $249.57 |