| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $37.15 | $46.77 | $67.61 | |
Medica
| Facility | $138.04 | $138.04 | $138.04 | |
Medica
| Professional | $141.25 | $141.25 | $141.25 | |
Midlands
| Professional | $16.60 | $16.60 | $27.54 |
Hlth&Behavior Ivntj Ea 15 Min Fam W/O Pt
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $37.15 | $46.77 | $67.61 | |
Medica
| Facility | $138.04 | $138.04 | $138.04 | |
Medica
| Professional | $141.25 | $141.25 | $141.25 | |
Midlands
| Professional | $16.60 | $16.60 | $27.54 |