| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $37.47 | $37.47 | $47.13 | |
Medica
| Facility | $56.19 | $56.19 | $56.19 | |
Medica
| Professional | $87.00 | $140.99 | $140.99 |
Hlth&Behavior Ivntj Ea 15 Min Fam W/O Pt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $37.47 | $37.47 | $47.13 | |
Medica
| Facility | $56.19 | $56.19 | $56.19 | |
Medica
| Professional | $87.00 | $140.99 | $140.99 |