| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $476.63 | $561.17 | $587.83 | |
Martin's Point
| Facility | $476.63 | $561.17 | $587.83 |
Hospital Ip/Obs Care Same Date High Mdm 85 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $476.63 | $561.17 | $587.83 | |
Martin's Point
| Facility | $476.63 | $561.17 | $587.83 |