| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.75 | $3.75 | $3.75 | |
Cigna
| Professional | $1.50 | $1.50 | $1.50 | |
Medica
| Facility | $3.75 | $90.00 | $100.00 |
Coordinated care fee, physician coordinated care oversight services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $3.75 | $3.75 | $3.75 | |
Cigna
| Professional | $1.50 | $1.50 | $1.50 | |
Medica
| Facility | $3.75 | $90.00 | $100.00 |