| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28.18 | $38.90 | $50.12 | |
Providence
| Facility | $28.84 | $38.90 | $87.10 |
Level 1 Health and Behavior Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $28.18 | $38.90 | $50.12 | |
Providence
| Facility | $28.84 | $38.90 | $87.10 |