| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $35.78 | $57.41 | $158.25 | |
Medica
| Professional | $318.20 | $318.20 | $318.20 |
Moderate Sedation Services (Ot
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $35.78 | $57.41 | $158.25 | |
Medica
| Professional | $318.20 | $318.20 | $318.20 |