| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.44 | $192.86 | $238.47 | |
Aetna
| Facility | 25 | $462.10 | $470.17 | $470.17 |
BCBS
| Facility | $226.90 | $266.06 | $700.71 | |
Cigna
| Facility | $238.08 | $238.08 | $238.08 |
Hospital Ip/Obs Care Same Date High Mdm 85 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.44 | $192.86 | $238.47 | |
Aetna
| Facility | 25 | $462.10 | $470.17 | $470.17 |
BCBS
| Facility | $226.90 | $266.06 | $700.71 | |
Cigna
| Facility | $238.08 | $238.08 | $238.08 |
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