| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.93 | $16.93 | $16.93 | |
Aetna
| Professional | $11.46 | $16.93 | $18.39 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Office Visit Observation No Other Srvc Performed
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $16.93 | $16.93 | $16.93 | |
Aetna
| Professional | $11.46 | $16.93 | $18.39 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |