| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.75 | $48.75 | $48.75 | |
Cigna
| Professional | $60.00 | $198.92 | $377.71 | |
Medcost
| Facility | $48.75 | $69.80 | $180.00 | |
United
| Professional | $542.00 | $542.00 | $542.00 |
Phys/Qhp Direction Emergency Medical Systems
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $48.75 | $48.75 | $48.75 | |
Cigna
| Professional | $60.00 | $198.92 | $377.71 | |
Medcost
| Facility | $48.75 | $69.80 | $180.00 | |
United
| Professional | $542.00 | $542.00 | $542.00 |