| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.62 | $149.16 | $506.09 | |
Cigna
| Facility | $238.08 | $238.08 | $238.08 | |
Medcost
| Facility | $177.41 | $247.76 | $386.80 |
Hospital Ip/Obs Care Same Date High Mdm 85 Min
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $131.62 | $149.16 | $506.09 | |
Cigna
| Facility | $238.08 | $238.08 | $238.08 | |
Medcost
| Facility | $177.41 | $247.76 | $386.80 |