| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $138.77 | $162.16 | $248.77 | |
Cigna
| Professional | $104.69 | $146.05 | $165.96 | |
Quartz
| Facility | $70.00 | $70.00 | $219.30 |
Domicil/Rest Home New Pt Visit Low Sever 20 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $138.77 | $162.16 | $248.77 | |
Cigna
| Professional | $104.69 | $146.05 | $165.96 | |
Quartz
| Facility | $70.00 | $70.00 | $219.30 |