| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Professional | $134.81 | $134.81 | $134.81 | |
Cigna
| Professional | $272.30 | $367.79 | $624.97 | |
Horizon BCBS
| Professional | $92.91 | $119.14 | $201.83 |
Prolonged Svc Outpatient Setting 1st Hour
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
AmeriHealth
| Professional | $134.81 | $134.81 | $134.81 | |
Cigna
| Professional | $272.30 | $367.79 | $624.97 | |
Horizon BCBS
| Professional | $92.91 | $119.14 | $201.83 |