| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $552.82 | $732.57 | $3,492.02 | |
Aetna
| Facility | 25 | $716.09 | $3,117.58 | $4,458.39 |
Aetna
| Professional | 25 | $167.60 | $288.93 | $935.00 |
Emergency Department Visit High Mdm
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $552.82 | $732.57 | $3,492.02 | |
Aetna
| Facility | 25 | $716.09 | $3,117.58 | $4,458.39 |
Aetna
| Professional | 25 | $167.60 | $288.93 | $935.00 |