| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $108.37 | $239.23 | $417.72 | |
Medica
| Professional | $266.56 | $1,012.00 | $1,012.00 |
Teletherapy Isodose Plan Complete
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $108.37 | $239.23 | $417.72 | |
Medica
| Professional | $266.56 | $1,012.00 | $1,012.00 |