| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $905.90 | $905.90 | $905.90 | |
Priority Health
| Facility | $905.90 | $905.90 | $905.90 |
Level 5 Type B ED Visits
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $905.90 | $905.90 | $905.90 | |
Priority Health
| Facility | $905.90 | $905.90 | $905.90 |