| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $60.26 | $67.61 | $83.18 | |
Cigna
| Professional | $69.18 | $87.10 | $131.83 | |
Medcost
| Facility | $60.26 | $74.13 | $109.65 | |
United
| Professional | $58.88 | $74.13 | $114.82 |
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 | $60.26 | $67.61 | $83.18 | |
Cigna
| Professional | $69.18 | $87.10 | $131.83 | |
Medcost
| Facility | $60.26 | $74.13 | $109.65 | |
United
| Professional | $58.88 | $74.13 | $114.82 |