| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $153.52 | $273.36 | $438.72 | |
Medcost
| Facility | $26.59 | $28.68 | $103.20 | |
Medcost
| Professional | $26.59 | $27.34 | $33.00 |
Phys/Qhp Telephone Evaluation 11-20 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $153.52 | $273.36 | $438.72 | |
Medcost
| Facility | $26.59 | $28.68 | $103.20 | |
Medcost
| Professional | $26.59 | $27.34 | $33.00 |