| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $200.95 | $234.83 | $360.23 | |
Cigna
| Professional | $151.60 | $212.27 | $241.21 | |
Quartz
| Facility | $94.68 | $94.68 | $321.18 |
Domicil/Rest Home New Pt Visit Mod Sever 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $200.95 | $234.83 | $360.23 | |
Cigna
| Professional | $151.60 | $212.27 | $241.21 | |
Quartz
| Facility | $94.68 | $94.68 | $321.18 |