| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.36 | $37.15 | $43.65 | |
Molina
| Professional | $50.12 | $50.12 | $75.86 | |
Pacific Source
| Facility | $26.92 | $35.48 | $37.15 |
Hlth&Behavior Ivntj Ea 15 Min Indiv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $32.36 | $37.15 | $43.65 | |
Molina
| Professional | $50.12 | $50.12 | $75.86 | |
Pacific Source
| Facility | $26.92 | $35.48 | $37.15 |