| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.00 | $224.00 | $224.00 | |
Ambetter
| Facility | $89.64 | $208.00 | $702.33 | |
Cigna
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Facility | $63.20 | $74.45 | $349.66 |
Treatment/Observation Room - Treatment Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $224.00 | $224.00 | $224.00 | |
Ambetter
| Facility | $89.64 | $208.00 | $702.33 | |
Cigna
| Facility | $100.00 | $100.00 | $100.00 | |
Medica
| Facility | $63.20 | $74.45 | $349.66 |