| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $123.55 | $123.55 | $123.55 | |
Medica
| Facility | $55.16 | $67.59 | $116.80 | |
Medica
| Professional | $416.24 | $416.24 | $416.24 |
Mod Sedatj Diff Phys/Qhp <5 Yrs Init 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $123.55 | $123.55 | $123.55 | |
Medica
| Facility | $55.16 | $67.59 | $116.80 | |
Medica
| Professional | $416.24 | $416.24 | $416.24 |