| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $77.69 | $83.45 | $99.98 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $98.70 | $142.69 | $142.69 |
Intervene Hlth/Behave Indiv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $77.69 | $83.45 | $99.98 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $98.70 | $142.69 | $142.69 |