| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.56 | $228.96 | $802.00 | |
Aetna
| Facility | 25 | $157.00 | $390.39 | $991.00 |
Anthem BCBS
| Facility | $316.00 | $515.45 | $635.00 | |
Cigna
| Facility | $371.00 | $392.00 | $1,165.00 |
Emergency Department Visit May Not Req Phys/Qhp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.56 | $228.96 | $802.00 | |
Aetna
| Facility | 25 | $157.00 | $390.39 | $991.00 |
Anthem BCBS
| Facility | $316.00 | $515.45 | $635.00 | |
Cigna
| Facility | $371.00 | $392.00 | $1,165.00 |