| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $163.13 | $178.64 | $229.99 | |
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 | $163.13 | $178.64 | $229.99 | |
Cigna
| Facility | $238.08 | $238.08 | $238.08 |