| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $808.29 | $808.29 | $808.29 |
Radiology Therapeutic and/or Chemotherapy Administration-Chemotherapy Admin - IV
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $808.29 | $808.29 | $808.29 |