| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $213.80 | $213.80 | |
Cigna
| Facility | $61.66 | $100.00 | $125.89 | |
Pacific Source
| Facility | $134.90 | $165.96 | $218.78 |
Occupational Therapy - Visit Charge
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $213.80 | $213.80 | $213.80 | |
Cigna
| Facility | $61.66 | $100.00 | $125.89 | |
Pacific Source
| Facility | $134.90 | $165.96 | $218.78 |