| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $41.85 | $184.55 | $332.35 | |
BCBS
| Facility | $39.49 | $52.08 | $113.97 | |
Cigna
| Facility | $147.00 | $147.00 | $147.00 | |
Medica
| Facility | $62.94 | $62.94 | $62.94 |
Other Therapeutic Services (see also 095X, an extension of 094X)-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $41.85 | $184.55 | $332.35 | |
BCBS
| Facility | $39.49 | $52.08 | $113.97 | |
Cigna
| Facility | $147.00 | $147.00 | $147.00 | |
Medica
| Facility | $62.94 | $62.94 | $62.94 |