| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $75.86 | |
Aetna
| Professional | $60.26 | $72.44 | $95.50 | |
Cigna
| Professional | $63.10 | $87.10 | $131.83 | |
United
| Professional | $60.26 | $77.62 | $117.49 |
Preparation of report of patient's psychiatric status, history, treatment, or progress (other than for legal or consultative purposes) for other individuals, agencies, or insurance carriers
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $75.86 | $75.86 | $75.86 | |
Aetna
| Professional | $60.26 | $72.44 | $95.50 | |
Cigna
| Professional | $63.10 | $87.10 | $131.83 | |
United
| Professional | $60.26 | $77.62 | $117.49 |