| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $38.79 | $38.79 | $38.79 | |
Health Alliance Plan
| Professional | $38.79 | $38.79 | $50.60 |
Sbsq Observation Care/Day 15 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Health Alliance Plan
| Facility | $38.79 | $38.79 | $38.79 | |
Health Alliance Plan
| Professional | $38.79 | $38.79 | $50.60 |