| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.06 | $193.37 | $374.92 | |
Aetna
| Facility | 25 | $128.97 | $181.66 | $187.46 |
Kaiser Permanente
| Professional | $11.39 | $15.59 | $36.14 |
Emergency Department Visit May Not Req Phys/Qhp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $13.06 | $193.37 | $374.92 | |
Aetna
| Facility | 25 | $128.97 | $181.66 | $187.46 |
Kaiser Permanente
| Professional | $11.39 | $15.59 | $36.14 |