| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.01 | $261.33 | $373.85 | |
Cigna
| Facility | $346.00 | $346.00 | $346.00 |
Hospital Ip/Obs Care Same Date High Mdm 85 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196.01 | $261.33 | $373.85 | |
Cigna
| Facility | $346.00 | $346.00 | $346.00 |