| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $800.00 | $800.00 | |
Ambetter
| Facility | $82.33 | $225.22 | $1,126.72 | |
Medica
| Facility | $1,683.41 | $1,683.41 | $1,683.41 |
Treatment/Observation Room - Treatment Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $800.00 | $800.00 | $800.00 | |
Ambetter
| Facility | $82.33 | $225.22 | $1,126.72 | |
Medica
| Facility | $1,683.41 | $1,683.41 | $1,683.41 |