| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.86 | $169.86 | $169.86 | |
Moda Health
| Facility | $169.86 | $192.02 | $316.20 |
Telehealth Consultation Emergency Department Or Initial Inpatient Typically 70 Minutes Or More Communicating With The Patient Via Telehealth (Revised 010112)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $169.86 | $169.86 | $169.86 | |
Moda Health
| Facility | $169.86 | $192.02 | $316.20 |