| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Professional | $91.20 | $112.20 | $131.83 | |
Cigna
| Professional | $213.80 | $316.23 | $416.87 | |
United
| Professional | $60.26 | $81.28 | $134.90 |
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 | $91.20 | $112.20 | $131.83 | |
Cigna
| Professional | $213.80 | $316.23 | $416.87 | |
United
| Professional | $60.26 | $81.28 | $134.90 |