| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $73.51 | $83.45 | $99.98 | |
Kaiser Permanente
| Professional | $18.75 | $18.75 | $18.75 |
Intervene Hlth/Behave Indiv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $73.51 | $83.45 | $99.98 | |
Kaiser Permanente
| Professional | $18.75 | $18.75 | $18.75 |