| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $651.09 | $651.09 | $651.09 | |
MVP Health Care
| Facility | $597.00 | $597.00 | $597.00 | |
MVP Health Care
| Professional | $651.09 | $651.09 | $651.09 |
Coordinated care fee, risk adjusted maintenance, Level 3
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $651.09 | $651.09 | $651.09 | |
MVP Health Care
| Facility | $597.00 | $597.00 | $597.00 | |
MVP Health Care
| Professional | $651.09 | $651.09 | $651.09 |