| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Cigna
| Professional | $108.15 | $118.05 | $143.76 | |
Medica
| Facility | $42.25 | $68.50 | $135.00 |
Unlisted home visit service or procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $25.00 | $25.00 | $25.00 | |
Cigna
| Professional | $108.15 | $118.05 | $143.76 | |
Medica
| Facility | $42.25 | $68.50 | $135.00 |