| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $125.00 | $125.00 | $140.00 | |
Providence
| Facility | $125.00 | $125.00 | $140.00 |
Home Health (HH) Medical Social Services-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $125.00 | $125.00 | $140.00 | |
Providence
| Facility | $125.00 | $125.00 | $140.00 |