| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.45 | $42.48 | $55.73 | |
Medica
| Facility | $23.64 | $23.64 | $23.64 | |
Medica
| Professional | $320.00 | $320.00 | $320.00 |
Moderate Sedatj Diff Phys/Qhp Ea Addl 15 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $29.45 | $42.48 | $55.73 | |
Medica
| Facility | $23.64 | $23.64 | $23.64 | |
Medica
| Professional | $320.00 | $320.00 | $320.00 |