| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.00 | $7.26 | $15.00 | |
Cigna
| Professional | $119.58 | $212.93 | $255.12 | |
Providence
| Facility | $6.57 | $7.99 | $10.11 | |
Providence
| Professional | $6.57 | $6.57 | $6.57 |
Additional supplies, materials, and clinical staff time over and above those usually included in an office visit or other nonfacility service(s), when performed during a Public Health Emergency, as defined by law, due to respiratory-transmitted infectious disease
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $4.00 | $7.26 | $15.00 | |
Cigna
| Professional | $119.58 | $212.93 | $255.12 | |
Providence
| Facility | $6.57 | $7.99 | $10.11 | |
Providence
| Professional | $6.57 | $6.57 | $6.57 |