| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.28 | $128.47 | $155.32 | |
Medica
| Facility | $126.85 | $163.09 | $250.64 |
Hospital Ip/Obs Care Same Date Sf/Low Mdm 45 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $102.28 | $128.47 | $155.32 | |
Medica
| Facility | $126.85 | $163.09 | $250.64 |