| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.36 | $16.93 | $18.39 | |
Providence
| Facility | $14.58 | $23.31 | $34.47 | |
Providence
| Professional | $13.67 | $21.03 | $2,400,000.00 |
Office Visit Observation No Other Srvc Performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.36 | $16.93 | $18.39 | |
Providence
| Facility | $14.58 | $23.31 | $34.47 | |
Providence
| Professional | $13.67 | $21.03 | $2,400,000.00 |