| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,995.26 | $1,995.26 | $1,995.26 | |
Martin's Point
| Facility | $1,995.26 | $1,995.26 | $1,995.26 | |
Oscar Health
| Facility | $1,862.09 | $1,949.84 | $2,511.89 |
Treatment/Observation Room - Other Treatment/Observation Rm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,995.26 | $1,995.26 | $1,995.26 | |
Martin's Point
| Facility | $1,995.26 | $1,995.26 | $1,995.26 | |
Oscar Health
| Facility | $1,862.09 | $1,949.84 | $2,511.89 |