| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.75 | $177.65 | $212.03 | |
Medica
| Facility | $176.69 | $257.76 | $539.35 |
Hospital Ip/Obs Care Same Date High Mdm 85 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $156.75 | $177.65 | $212.03 | |
Medica
| Facility | $176.69 | $257.76 | $539.35 |