| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $551.49 | $644.45 | $988.61 | |
Cigna
| Professional | $416.04 | $585.13 | $664.93 | |
Quartz
| Facility | $259.95 | $259.95 | $823.59 |
Dom/R-Home E/M New Pt Signif New Prob 75 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $551.49 | $644.45 | $988.61 | |
Cigna
| Professional | $416.04 | $585.13 | $664.93 | |
Quartz
| Facility | $259.95 | $259.95 | $823.59 |