| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $469.48 | $548.63 | $841.61 | |
Cigna
| Professional | $354.18 | $495.87 | $563.49 | |
Quartz
| Facility | $220.92 | $220.92 | $699.21 |
Domicil/Rest Home New Pt Visit Hi Sever 60 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $469.48 | $548.63 | $841.61 | |
Cigna
| Professional | $354.18 | $495.87 | $563.49 | |
Quartz
| Facility | $220.92 | $220.92 | $699.21 |