| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.04 | $264.80 | $485.60 | |
Aetna
| Facility | 25 | $239.72 | $323.57 | $500.06 |
BCBS
| Facility | $104.31 | $153.60 | $185.46 | |
Medcost
| Facility | $10.86 | $24.00 | $56.83 |
Emergency Department Visit May Not Req Phys/Qhp
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $17.04 | $264.80 | $485.60 | |
Aetna
| Facility | 25 | $239.72 | $323.57 | $500.06 |
BCBS
| Facility | $104.31 | $153.60 | $185.46 | |
Medcost
| Facility | $10.86 | $24.00 | $56.83 |