| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
MVP Health Care
| Facility | $254.50 | $254.50 | $254.50 | |
MVP Health Care
| Professional | $295.50 | $295.50 | $330.00 |
Teletherapy Isodose Plan Intermediate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
MVP Health Care
| Facility | $254.50 | $254.50 | $254.50 | |
MVP Health Care
| Professional | $295.50 | $295.50 | $330.00 |