| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.80 | $57.67 | $373.73 | |
Aetna
| Facility | 25 | $332.35 | $419.80 | $428.40 |
Anthem BCBS
| Facility | $458.88 | $458.88 | $458.88 | |
Cigna
| Facility | $404.00 | $404.00 | $463.00 |
Emergency Department Visit May Not Req Phys/Qhp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $21.80 | $57.67 | $373.73 | |
Aetna
| Facility | 25 | $332.35 | $419.80 | $428.40 |
Anthem BCBS
| Facility | $458.88 | $458.88 | $458.88 | |
Cigna
| Facility | $404.00 | $404.00 | $463.00 |