| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
Medica
| Facility | $36.29 | $103.34 | $1,189.00 | |
United
| Facility | $1,189.00 | $1,189.00 | $1,189.00 |
Treatment/Observation Room - Observation Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,000.00 | $1,000.00 | $1,000.00 | |
Medica
| Facility | $36.29 | $103.34 | $1,189.00 | |
United
| Facility | $1,189.00 | $1,189.00 | $1,189.00 |