| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $17.48 | $20.96 | $73.34 | |
Molina
| Professional | $15.94 | $15.94 | $15.94 | |
Providence
| Professional | $50.00 | $50.00 | $50.00 |
Visit For Drug Monitoring
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $17.48 | $20.96 | $73.34 | |
Molina
| Professional | $15.94 | $15.94 | $15.94 | |
Providence
| Professional | $50.00 | $50.00 | $50.00 |