| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.10 | $2.10 | $2.10 | |
Medica
| Facility | $2.10 | $2.10 | $100.00 | |
Medica
| Professional | $1,962.21 | $1,962.21 | $1,962.21 |
Coordinated care fee, initial rate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $2.10 | $2.10 | $2.10 | |
Medica
| Facility | $2.10 | $2.10 | $100.00 | |
Medica
| Professional | $1,962.21 | $1,962.21 | $1,962.21 |