| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.38 | $95.63 | $112.50 | |
Kaiser Permanente
| Professional | $93.63 | $118.27 | $215.15 |
Hospital Ip/Obs Care Same Date Sf/Low Mdm 45 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $84.38 | $95.63 | $112.50 | |
Kaiser Permanente
| Professional | $93.63 | $118.27 | $215.15 |