| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $61.41 | $103.88 | $279.63 | |
Medica
| Professional | $350.74 | $350.74 | $350.74 |
Physical Therapy Evaluation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $61.41 | $103.88 | $279.63 | |
Medica
| Professional | $350.74 | $350.74 | $350.74 |