| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $91.00 | $91.00 | $240.00 |
Freestanding Clinic-Home Visit by RHC/FQHC Practitioner
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $91.00 | $91.00 | $240.00 |