| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $115.00 | $115.00 | $150.00 | |
Providence
| Facility | $115.00 | $115.00 | $150.00 |
Occupational Therapy-Evaluation or Reevaluation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $115.00 | $115.00 | $150.00 | |
Providence
| Facility | $115.00 | $115.00 | $150.00 |