| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $193.11 | $266.19 | $452.33 | |
Molina
| Professional | $128.75 | $140.72 | $151.07 |
Prolonged Svc Outpatient Setting Ea Addl 30 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $193.11 | $266.19 | $452.33 | |
Molina
| Professional | $128.75 | $140.72 | $151.07 |