| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $97.72 | $141.25 | $204.17 | |
Medica
| Facility | $53.70 | $53.70 | $53.70 | |
Medica
| Professional | $416.87 | $416.87 | $416.87 |
Mod Sedatj Diff Phys/Qhp <5 Yrs Init 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $97.72 | $141.25 | $204.17 | |
Medica
| Facility | $53.70 | $53.70 | $53.70 | |
Medica
| Professional | $416.87 | $416.87 | $416.87 |