| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.51 | $130.51 | $130.51 | |
Aetna
| Professional | $110.15 | $142.26 | $142.26 | |
Cigna
| Professional | $66.00 | $66.00 | $66.00 | |
Medica
| Facility | $110.15 | $142.26 | $154.00 |
Federally Qualified Health Center (FQHC) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of Medicare-covered services that would be furnished per diem to a patient receiving a mental health visit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $130.51 | $130.51 | $130.51 | |
Aetna
| Professional | $110.15 | $142.26 | $142.26 | |
Cigna
| Professional | $66.00 | $66.00 | $66.00 | |
Medica
| Facility | $110.15 | $142.26 | $154.00 |