| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $19.19 | $19.19 | $23.23 | |
Cigna
| Professional | $34.57 | $37.13 | $94.59 | |
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 |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $19.19 | $19.19 | $23.23 | |
Cigna
| Professional | $34.57 | $37.13 | $94.59 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $98.70 | $142.69 | $142.69 |