| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,102.50 | $13,687.50 | $13,687.50 | |
Medica
| Professional | $10,037.50 | $10,037.50 | $10,037.50 |
Corplex P, per cc
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $3,102.50 | $13,687.50 | $13,687.50 | |
Medica
| Professional | $10,037.50 | $10,037.50 | $10,037.50 |