| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $65.00 | $423.00 | $423.00 | |
Medica
| Professional | $583.46 | $583.46 | $583.46 |
Dx mammo incl cad uni
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $65.00 | $423.00 | $423.00 | |
Medica
| Professional | $583.46 | $583.46 | $583.46 |