| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
Medica
| Facility | $19.95 | $25.12 | $323.59 | |
Medica
| Professional | $323.59 | $323.59 | $323.59 |
Moderate Sedatj Diff Phys/Qhp Ea Addl 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $33.88 | $33.88 | $33.88 | |
Medica
| Facility | $19.95 | $25.12 | $323.59 | |
Medica
| Professional | $323.59 | $323.59 | $323.59 |