| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $200.51 | $344.29 | $391.24 | |
Medica
| Facility | $520.20 | $520.20 | $520.20 | |
Molina
| Professional | $50.00 | $50.00 | $58.40 | |
Quartz
| Facility | $149.91 | $149.91 | $520.20 |
Home Vst New Patient Mod-Hi Severity 45 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $200.51 | $344.29 | $391.24 | |
Medica
| Facility | $520.20 | $520.20 | $520.20 | |
Molina
| Professional | $50.00 | $50.00 | $58.40 | |
Quartz
| Facility | $149.91 | $149.91 | $520.20 |