| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,445.44 | $1,445.44 | $1,445.44 |
Inpatient Renal Dialysis-Other Inpatient Dialysis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,445.44 | $1,445.44 | $1,445.44 |