| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $344.23 | $402.26 | $617.07 | |
Cigna
| Professional | $259.68 | $359.83 | $408.90 | |
Quartz
| Facility | $161.54 | $161.54 | $499.89 |
Dom/R-Home E/M Est Pt Mod Hi Severity 40 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $344.23 | $402.26 | $617.07 | |
Cigna
| Professional | $259.68 | $359.83 | $408.90 | |
Quartz
| Facility | $161.54 | $161.54 | $499.89 |