| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $275.39 | $374.51 | $483.55 | |
Providence
| Facility | $275.39 | $374.51 | $659.67 |
Level 4 Type B ED Visits
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $275.39 | $374.51 | $483.55 | |
Providence
| Facility | $275.39 | $374.51 | $659.67 |