| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $128.03 | $288.19 | $345.29 | |
Medica
| Facility | $145.66 | $145.66 | $162.13 | |
Medica
| Professional | $77.38 | $335.79 | $335.79 |
Sbsq Observation Care/Day 25 Minutes
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $128.03 | $288.19 | $345.29 | |
Medica
| Facility | $145.66 | $145.66 | $162.13 | |
Medica
| Professional | $77.38 | $335.79 | $335.79 |