| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.89 | $216.00 | $468.20 | |
Aetna
| Facility | 25 | $189.37 | $308.32 | $451.17 |
BCBS
| Facility | $442.00 | $487.00 | $607.50 | |
Cigna
| Facility | $27.89 | $273.50 | $442.00 |
Emergency Department Visit May Not Req Phys/Qhp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $22.89 | $216.00 | $468.20 | |
Aetna
| Facility | 25 | $189.37 | $308.32 | $451.17 |
BCBS
| Facility | $442.00 | $487.00 | $607.50 | |
Cigna
| Facility | $27.89 | $273.50 | $442.00 |
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