| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $140.00 | $311.31 | $420.28 | |
Cigna
| Facility | $121.00 | $227.00 | $2,319.42 |
Freestanding Clinic-Visit by RHC/FQHC Practitioner to a Member in a SNF (Not in a Covered Part A Stay) or NF or ICF MR or Other Residential Facility
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $140.00 | $311.31 | $420.28 | |
Cigna
| Facility | $121.00 | $227.00 | $2,319.42 |