| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $154.09 | $180.07 | $276.23 | |
Cigna
| Professional | $116.25 | $160.72 | $182.65 | |
Quartz
| Facility | $72.67 | $72.67 | $227.16 |
Dom/R-Home E/M Est Pt Self-Lmtd/Minor 15 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $154.09 | $180.07 | $276.23 | |
Cigna
| Professional | $116.25 | $160.72 | $182.65 | |
Quartz
| Facility | $72.67 | $72.67 | $227.16 |