| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $112.20 | $141.25 | $269.15 | |
Medica
| Professional | $912.01 | $912.01 | $912.01 |
Teletherapy Isodose Plan Intermediate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $112.20 | $141.25 | $269.15 | |
Medica
| Professional | $912.01 | $912.01 | $912.01 |