| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.53 | $218.06 | $340.75 | |
Aetna
| Facility | 25 | $220.66 | $226.50 | $355.26 |
Medica
| Facility | $10.05 | $18.09 | $46.08 | |
Midlands
| Facility | $16.50 | $26.34 | $53.80 |
Emergency Department Visit May Not Req Phys/Qhp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8.53 | $218.06 | $340.75 | |
Aetna
| Facility | 25 | $220.66 | $226.50 | $355.26 |
Medica
| Facility | $10.05 | $18.09 | $46.08 | |
Midlands
| Facility | $16.50 | $26.34 | $53.80 |