| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $84.89 | $92.08 | $110.32 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $122.00 | $5,919.01 | $5,919.01 |
Hlth&Behavior Assmt Ea 15 Min W/Pt 1St Assmt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $84.89 | $92.08 | $110.32 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $122.00 | $5,919.01 | $5,919.01 |