| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.52 | $117.52 | $117.52 | |
Aetna
| Professional | $117.52 | $127.22 | $128.13 | |
Cigna
| Professional | $36.70 | $36.70 | $36.70 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Level 2 Hospital Type B Ed Visit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117.52 | $117.52 | $117.52 | |
Aetna
| Professional | $117.52 | $127.22 | $128.13 | |
Cigna
| Professional | $36.70 | $36.70 | $36.70 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |