| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $28,874.72 | $32,812.17 | $44,999.55 | |
CareSource
| Professional | $34,124.66 | $34,124.66 | $34,124.66 |
Dom/R-Home E/M Est Pt Self-Lmtd/Minor 15 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $28,874.72 | $32,812.17 | $44,999.55 | |
CareSource
| Professional | $34,124.66 | $34,124.66 | $34,124.66 |