| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.32 | $221.32 | $221.32 | |
BCBS
| Facility | $399.46 | $448.21 | $509.78 |
Hospital Ip/Obs Care Same Date High Mdm 85 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $221.32 | $221.32 | $221.32 | |
BCBS
| Facility | $399.46 | $448.21 | $509.78 |