| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $251.19 | $251.19 | $251.19 |
Radiology Therapeutic and/or Chemotherapy Administration-Chemotherapy Administration-Injected
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $251.19 | $251.19 | $251.19 |