| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.12 | $207.12 | $207.12 | |
Aetna
| Professional | $206.60 | $242.10 | $242.10 | |
Cigna
| Professional | $106.20 | $106.20 | $106.20 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |
Level 3 Hospital Type B Ed Visit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $207.12 | $207.12 | $207.12 | |
Aetna
| Professional | $206.60 | $242.10 | $242.10 | |
Cigna
| Professional | $106.20 | $106.20 | $106.20 | |
Molina
| Professional | $30.00 | $45.00 | $60.00 |