| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $25.00 | $25.00 | |
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Cigna
| Professional | $118.05 | $150.47 | $191.09 | |
Medica
| Facility | $25.00 | $25.00 | $135.00 |
Unlisted Home Visit Service/Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $25.00 | $25.00 | $25.00 | |
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Cigna
| Professional | $118.05 | $150.47 | $191.09 | |
Medica
| Facility | $25.00 | $25.00 | $135.00 |