| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Cigna
| Professional | $71.81 | $96.29 | $120.36 | |
Hally Health
| Professional | $100.00 | $100.00 | $200.00 |
Unlisted Home Visit Service/Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Cigna
| Professional | $71.81 | $96.29 | $120.36 | |
Hally Health
| Professional | $100.00 | $100.00 | $200.00 |