| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,000.00 | $2,000.00 | $2,000.00 | |
BCBS
| Facility | $641.38 | $1,198.80 | $2,786.40 | |
Cigna
| Facility | $1,010.00 | $2,227.00 | $5,638.00 |
Treatment/Observation Room - Other Treatment/Observation Rm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,000.00 | $2,000.00 | $2,000.00 | |
BCBS
| Facility | $641.38 | $1,198.80 | $2,786.40 | |
Cigna
| Facility | $1,010.00 | $2,227.00 | $5,638.00 |
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