| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Well Sense
| Professional | $26.32 | $34.88 | $53.50 |
Sbsq Observation Care/Day 15 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Well Sense
| Professional | $26.32 | $34.88 | $53.50 |