| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.12 | $78.12 | $78.12 | |
Aetna
| Professional | $78.12 | $78.12 | $112.32 | |
Cigna
| Professional | $2.00 | $2.00 | $2.00 | |
MVP Health Care
| Professional | $2.00 | $2.00 | $2.00 |
A Federally Qualified Health Center (Fqhc) Visit Mental Health Established Patient
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $78.12 | $78.12 | $78.12 | |
Aetna
| Professional | $78.12 | $78.12 | $112.32 | |
Cigna
| Professional | $2.00 | $2.00 | $2.00 | |
MVP Health Care
| Professional | $2.00 | $2.00 | $2.00 |