| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.16 | $172.46 | $291.35 | |
Aetna
| Facility | 25 | $206.60 | $206.60 | $314.68 |
Cigna
| Facility | $281.00 | $281.00 | $281.00 |
Hospital Ip/Obs Care Same Date Mod Mdm 70 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $152.16 | $172.46 | $291.35 | |
Aetna
| Facility | 25 | $206.60 | $206.60 | $314.68 |
Cigna
| Facility | $281.00 | $281.00 | $281.00 |