| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $13.18 | $23.44 | $39.81 | |
Wellcare
| Facility | $89.13 | $89.13 | $89.13 | |
Wellcare
| Professional | $100.00 | $100.00 | $251.19 |
Moderate Sedatj Same Phys/Qhp Each Addl 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medcost
| Facility | $13.18 | $23.44 | $39.81 | |
Wellcare
| Facility | $89.13 | $89.13 | $89.13 | |
Wellcare
| Professional | $100.00 | $100.00 | $251.19 |