| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $193.11 | $211.70 | $266.19 | |
Medica
| Facility | $201.68 | $201.68 | $372.36 | |
Medica
| Professional | $406.95 | $523.28 | $523.28 |
Prolonged Svc Outpatient Setting Ea Addl 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $193.11 | $211.70 | $266.19 | |
Medica
| Facility | $201.68 | $201.68 | $372.36 | |
Medica
| Professional | $406.95 | $523.28 | $523.28 |