| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $57.71 | $78.95 | $94.59 | |
Kaiser Permanente
| Professional | $40.18 | $40.18 | $40.18 |
Intervene Hlth/Behave Indiv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $57.71 | $78.95 | $94.59 | |
Kaiser Permanente
| Professional | $40.18 | $40.18 | $40.18 |