| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $384.89 | $384.89 | $457.50 |
Providence
| Facility | 26 | $384.89 | $384.89 | $457.50 |
Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | 26 | $384.89 | $384.89 | $457.50 |
Providence
| Facility | 26 | $384.89 | $384.89 | $457.50 |