| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.67 | $20.96 | $73.34 | |
Medica
| Facility | $90.00 | $148.02 | $148.02 | |
Medica
| Professional | $157.35 | $157.35 | $157.35 |
Visit for drug monitoring
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $16.67 | $20.96 | $73.34 | |
Medica
| Facility | $90.00 | $148.02 | $148.02 | |
Medica
| Professional | $157.35 | $157.35 | $157.35 |