| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $131.83 | $162.18 | $436.52 | |
Medica
| Professional | $213.80 | $912.01 | $912.01 |
Teletherapy Isodose Plan Intermediate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $131.83 | $162.18 | $436.52 | |
Medica
| Professional | $213.80 | $912.01 | $912.01 |