| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $71.67 | $71.67 | $73.09 |
Domicil/Rest Home New Pt Visit Low Sever 20 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Professional | $71.67 | $71.67 | $73.09 |