| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $2.10 | $2.10 | |
CareSource
| Facility | $47,249.53 | $59,702.01 | $59,702.01 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |
Coordinated care fee, initial rate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1.00 | $1.00 | $1.00 | |
Aetna
| Professional | $1.00 | $2.10 | $2.10 | |
CareSource
| Facility | $47,249.53 | $59,702.01 | $59,702.01 | |
Molina
| Professional | $40.00 | $50.00 | $60.00 |