| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $272.30 | $483.07 | $590.40 | |
Medcost
| Professional | $126.53 | $160.00 | $160.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |
Prolonged Svc Outpatient Setting 1st Hour
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $272.30 | $483.07 | $590.40 | |
Medcost
| Professional | $126.53 | $160.00 | $160.00 | |
Molina
| Professional | $30.00 | $30.00 | $30.00 |