| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.47 | $34.47 | $43.34 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $97.66 | $97.66 | $97.66 |
Cognitive Skills Development Ea 15
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $34.47 | $34.47 | $43.34 | |
Medica
| Facility | $90.00 | $90.00 | $90.00 | |
Medica
| Professional | $97.66 | $97.66 | $97.66 |