| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.71 | $75.40 | $99.98 | |
Medcost
| Professional | $25.00 | $25.00 | $25.00 | |
Wellcare
| Facility | $90.00 | $90.00 | $139.63 | |
Wellcare
| Professional | $98.70 | $104.34 | $142.69 |
Hlth&Behavior Ivntj Ea 15 Min Indiv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.71 | $75.40 | $99.98 | |
Medcost
| Professional | $25.00 | $25.00 | $25.00 | |
Wellcare
| Facility | $90.00 | $90.00 | $139.63 | |
Wellcare
| Professional | $98.70 | $104.34 | $142.69 |