| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.02 | $280.00 | $496.94 | |
Aetna
| Facility | 25 | $199.65 | $347.49 | $1,045.00 |
Medica
| Facility | $9.36 | $17.27 | $55.68 | |
Medica
| Facility | 25 | $97.89 | $97.89 | $97.89 |
Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10.02 | $280.00 | $496.94 | |
Aetna
| Facility | 25 | $199.65 | $347.49 | $1,045.00 |
Medica
| Facility | $9.36 | $17.27 | $55.68 | |
Medica
| Facility | 25 | $97.89 | $97.89 | $97.89 |