| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $79.43 | $89.13 | $107.15 | |
Medica
| Facility | $89.13 | $89.13 | $138.04 | |
Medica
| Professional | $107.15 | $2,951.21 | $2,951.21 |
Hlth&Behavior Assmt Ea 15 Min W/Pt Re-Assmt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $79.43 | $89.13 | $107.15 | |
Medica
| Facility | $89.13 | $89.13 | $138.04 | |
Medica
| Professional | $107.15 | $2,951.21 | $2,951.21 |