| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.54 | $118.44 | $152.47 | |
Aetna
| Facility | 25 | $779.82 | $847.87 | $1,075.88 |
BCBS
| Facility | $136.97 | $163.16 | $429.70 | |
Cigna
| Facility | $111.66 | $111.66 | $111.66 |
Hospital Ip/Obs Care Same Date Sf/Low Mdm 45 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $99.54 | $118.44 | $152.47 | |
Aetna
| Facility | 25 | $779.82 | $847.87 | $1,075.88 |
BCBS
| Facility | $136.97 | $163.16 | $429.70 | |
Cigna
| Facility | $111.66 | $111.66 | $111.66 |
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