| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $138.04 | $138.04 | $173.78 | |
Medica
| Facility | $47.86 | $74.13 | $190.55 | |
Medica
| Professional | $66.07 | $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 | $138.04 | $138.04 | $173.78 | |
Medica
| Facility | $47.86 | $74.13 | $190.55 | |
Medica
| Professional | $66.07 | $416.87 | $416.87 |