| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $31.57 | $48.14 | $78.56 | |
Medcost
| Professional | $49.00 | $63.00 | $101.00 |
Medic-Physical Medic-Rehabilit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $31.57 | $48.14 | $78.56 | |
Medcost
| Professional | $49.00 | $63.00 | $101.00 |