| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.85 | $108.04 | $138.47 | |
CareSource
| Facility | $92.23 | $106.06 | $151.55 | |
Cigna
| Facility | $111.66 | $111.66 | $111.66 |
Hospital Ip/Obs Care Same Date Sf/Low Mdm 45 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $103.85 | $108.04 | $138.47 | |
CareSource
| Facility | $92.23 | $106.06 | $151.55 | |
Cigna
| Facility | $111.66 | $111.66 | $111.66 |