| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $243.30 | $284.32 | $436.15 | |
Cigna
| Professional | $183.55 | $254.74 | $289.48 | |
Quartz
| Facility | $114.20 | $114.20 | $354.12 |
Dom/R-Home E/M Est Pt Lw Mod Severity 25 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $243.30 | $284.32 | $436.15 | |
Cigna
| Professional | $183.55 | $254.74 | $289.48 | |
Quartz
| Facility | $114.20 | $114.20 | $354.12 |