| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $137.26 | $273.98 | $399.05 | |
Midlands
| Facility | $106.70 | $124.48 | $171.42 |
Unlisted Px Ther Radiology Clinical Tx Planning
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $150.00 | $150.00 | $150.00 | |
Medica
| Facility | $137.26 | $273.98 | $399.05 | |
Midlands
| Facility | $106.70 | $124.48 | $171.42 |