| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.10 | $2.10 | $2.10 | |
Aetna
| Professional | $2.10 | $2.10 | $2.10 | |
Horizon BCBS
| Professional | $116.88 | $116.88 | $137.50 |
Coordinated care fee, initial rate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2.10 | $2.10 | $2.10 | |
Aetna
| Professional | $2.10 | $2.10 | $2.10 | |
Horizon BCBS
| Professional | $116.88 | $116.88 | $137.50 |