| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $294.26 | $294.26 | $294.26 | |
Medica
| Professional | $360.14 | $360.14 | $973.66 |
Cog/func assessment outpt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $294.26 | $294.26 | $294.26 | |
Medica
| Professional | $360.14 | $360.14 | $973.66 |