| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $194.98 | $213.80 | $269.15 | |
United
| Professional | $69.18 | $97.72 | $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 |
|---|---|---|---|---|---|
Cigna
| Professional | $194.98 | $213.80 | $269.15 | |
United
| Professional | $69.18 | $97.72 | $134.90 |