| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $138.04 | $245.47 | $416.87 | |
Molina
| Professional | $128.82 | $141.25 | $151.36 | |
United
| Professional | $70.79 | $93.33 | $144.54 |
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 |
|---|---|---|---|---|---|
Cigna
| Professional | $138.04 | $245.47 | $416.87 | |
Molina
| Professional | $128.82 | $141.25 | $151.36 | |
United
| Professional | $70.79 | $93.33 | $144.54 |