| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $84.45 | $236.98 | $1,474.43 | |
Medica
| Facility | $716.91 | $1,573.28 | $6,667.80 |
Other Therapeutic Services - Other Therapeutic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $84.45 | $236.98 | $1,474.43 | |
Medica
| Facility | $716.91 | $1,573.28 | $6,667.80 |