| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.81 | $79.13 | $93.09 | |
Kaiser Permanente
| Professional | $102.96 | $215.34 | $215.34 |
Hospital Ip/Obs Care Same Date Sf/Low Mdm 45 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $69.81 | $79.13 | $93.09 | |
Kaiser Permanente
| Professional | $102.96 | $215.34 | $215.34 |