| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $120.23 | $120.23 | $120.23 | |
Health Alliance Plan
| Facility | $15.14 | $25.12 | $40.74 | |
Priority Health
| Facility | $120.23 | $120.23 | $120.23 |
Occupational Therapy-Other Occupational Therapy
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $120.23 | $120.23 | $120.23 | |
Health Alliance Plan
| Facility | $15.14 | $25.12 | $40.74 | |
Priority Health
| Facility | $120.23 | $120.23 | $120.23 |