| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.43 | $14.43 | $14.43 | |
Aetna
| Professional | $12.68 | $16.93 | $22.53 | |
Medica
| Facility | $14.43 | $23.09 | $38.22 | |
Medica
| Professional | $120.20 | $120.20 | $120.20 |
Office Visit For Observation (During Regularly Scheduled Hours) - No Other Services Performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $14.43 | $14.43 | $14.43 | |
Aetna
| Professional | $12.68 | $16.93 | $22.53 | |
Medica
| Facility | $14.43 | $23.09 | $38.22 | |
Medica
| Professional | $120.20 | $120.20 | $120.20 |