| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $389.54 | $529.73 | $683.95 | |
Providence
| Facility | $389.54 | $529.73 | $933.08 |
Level 5 Type B ED Visits
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $389.54 | $529.73 | $683.95 | |
Providence
| Facility | $389.54 | $529.73 | $933.08 |