| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $87.87 | $109.09 | $128.28 | |
Cigna
| Professional | $261.33 | $356.65 | $427.30 |
Prolonged service(s) in the outpatient setting requiring direct patient contact beyond the time of the usual service; each additional 30 minutes (List separately in addition to code for prolonged service)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $87.87 | $109.09 | $128.28 | |
Cigna
| Professional | $261.33 | $356.65 | $427.30 |