| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $80.00 | $80.00 | $80.00 | |
Cigna
| Professional | $114.44 | $114.44 | $114.44 | |
Medcost
| Facility | $4.00 | $5.00 | $6.00 | |
Wellcare
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |
Unlisted Psychiatric Service/Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Professional | $80.00 | $80.00 | $80.00 | |
Cigna
| Professional | $114.44 | $114.44 | $114.44 | |
Medcost
| Facility | $4.00 | $5.00 | $6.00 | |
Wellcare
| Facility | $2,000.00 | $2,000.00 | $2,000.00 |