| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $77.62 | $112.20 | $112.20 | |
Ambetter
| Professional | $28.84 | $37.15 | $58.88 | |
Cigna
| Professional | $2.00 | $2.00 | $2.00 | |
Medica
| Facility | $102.33 | $112.20 | $218.78 |
Federally Qualified Health Center (FQHC) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established 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
| Professional | $77.62 | $112.20 | $112.20 | |
Ambetter
| Professional | $28.84 | $37.15 | $58.88 | |
Cigna
| Professional | $2.00 | $2.00 | $2.00 | |
Medica
| Facility | $102.33 | $112.20 | $218.78 |