| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.49 | $152.12 | $191.73 | |
Aetna
| Facility | 25 | $206.60 | $801.39 | $979.06 |
BCBS
| Facility | $182.00 | $214.22 | $564.20 | |
Cigna
| Facility | $181.97 | $181.97 | $181.97 |
Hospital Ip/Obs Care Same Date Mod Mdm 70 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $126.49 | $152.12 | $191.73 | |
Aetna
| Facility | 25 | $206.60 | $801.39 | $979.06 |
BCBS
| Facility | $182.00 | $214.22 | $564.20 | |
Cigna
| Facility | $181.97 | $181.97 | $181.97 |
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