| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $2,000.00 | $2,000.00 | $2,000.00 | |
Martin's Point
| Facility | $2,000.00 | $2,000.00 | $2,000.00 | |
Oscar Health
| Facility | $1,886.66 | $1,949.54 | $2,511.34 |
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 | |
Martin's Point
| Facility | $2,000.00 | $2,000.00 | $2,000.00 | |
Oscar Health
| Facility | $1,886.66 | $1,949.54 | $2,511.34 |