| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.06 | $67.06 | $67.06 | |
Aetna
| Professional | $67.06 | $232.54 | $232.54 | |
Cigna
| Professional | $43.50 | $43.50 | $43.50 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Level 1 Hospital Type B Ed Visit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $67.06 | $67.06 | $67.06 | |
Aetna
| Professional | $67.06 | $232.54 | $232.54 | |
Cigna
| Professional | $43.50 | $43.50 | $43.50 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |