| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28.40 | $39.07 | $50.45 | |
Providence
| Facility | $28.73 | $39.07 | $68.81 |
Level 1 Health and Behavior Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28.40 | $39.07 | $50.45 | |
Providence
| Facility | $28.73 | $39.07 | $68.81 |