| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $76.50 | $76.50 | $90.00 |
Freestanding Clinic-Home Visit by RHC/FQHC Practitioner
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $76.50 | $76.50 | $90.00 |