| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $82.50 | $123.75 | $163.13 | |
Medica
| Professional | $164.06 | $164.06 | $527.02 |
Subseq psych care man,60mi
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $82.50 | $123.75 | $163.13 | |
Medica
| Professional | $164.06 | $164.06 | $527.02 |