| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.92 | $249.17 | $395.55 |
Hospital Ip/Obs Care Same Date Sf/Low Mdm 45 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $175.92 | $249.17 | $395.55 |