| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $83.18 | $104.71 | $165.96 | |
Medica
| Professional | $165.96 | $165.96 | $524.81 |
Subseq psych care man,60mi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $83.18 | $104.71 | $165.96 | |
Medica
| Professional | $165.96 | $165.96 | $524.81 |