| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.77 | $68.09 | $76.70 | |
Cigna
| Professional | $68.95 | $87.60 | $124.45 | |
Medcost
| Facility | $53.32 | $74.98 | $99.33 | |
United
| Professional | $60.00 | $77.68 | $127.14 |
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
| Professional | $60.77 | $68.09 | $76.70 | |
Cigna
| Professional | $68.95 | $87.60 | $124.45 | |
Medcost
| Facility | $53.32 | $74.98 | $99.33 | |
United
| Professional | $60.00 | $77.68 | $127.14 |