| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $232.96 | $232.96 | $232.96 | |
Cigna
| Professional | $681.46 | $681.46 | $681.46 | |
Wellpoint
| Professional | $94.97 | $94.97 | $94.97 |
Level 4 Hospital Type B Ed Visit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $232.96 | $232.96 | $232.96 | |
Cigna
| Professional | $681.46 | $681.46 | $681.46 | |
Wellpoint
| Professional | $94.97 | $94.97 | $94.97 |