| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.08 | $73.76 | $86.77 | |
Medica
| Facility | $94.70 | $160.52 | $379.89 | |
Midlands
| Facility | $140.69 | $199.80 | $285.57 |
Hospital Ip/Obs Care Same Date Sf/Low Mdm 45 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $65.08 | $73.76 | $86.77 | |
Medica
| Facility | $94.70 | $160.52 | $379.89 | |
Midlands
| Facility | $140.69 | $199.80 | $285.57 |