| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $206.26 | $348.00 | $348.00 | |
Medica
| Professional | $103.85 | $459.01 | $459.01 | |
United
| Professional | $85.00 | $85.00 | $85.00 |
Prolonged Svc I/P Or Obs Setting Ea Addl 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $206.26 | $348.00 | $348.00 | |
Medica
| Professional | $103.85 | $459.01 | $459.01 | |
United
| Professional | $85.00 | $85.00 | $85.00 |