| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.19 | $206.19 | $206.19 | |
Moda Health
| Facility | $208.17 | $257.16 | $289.81 |
Hospital Ip/Obs Care Same Date Mod Mdm 70 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $206.19 | $206.19 | $206.19 | |
Moda Health
| Facility | $208.17 | $257.16 | $289.81 |