| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $163.24 | $367.45 | $440.24 | |
Medica
| Facility | $205.62 | $346.11 | $346.11 | |
Medica
| Professional | $683.00 | $683.00 | $683.00 |
Prolonged Svc I/P Or Obs Setting 1st Hour
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Professional | $163.24 | $367.45 | $440.24 | |
Medica
| Facility | $205.62 | $346.11 | $346.11 | |
Medica
| Professional | $683.00 | $683.00 | $683.00 |