| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $106.73 | $145.13 | $187.39 | |
Providence
| Facility | $106.73 | $145.13 | $255.65 |
Level 2 Type B ED Visits
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $106.73 | $145.13 | $187.39 | |
Providence
| Facility | $106.73 | $145.13 | $255.65 |