| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $12.00 | $19.00 | $55.00 | |
Oscar Health
| Facility | $665.00 | $879.00 | $1,418.00 |
Other Therapeutic Services (see also 095X, an extension of 094X)-Other Therapeutic Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $12.00 | $19.00 | $55.00 | |
Oscar Health
| Facility | $665.00 | $879.00 | $1,418.00 |