| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.04 | $231.05 | $231.05 | |
Cigna
| Professional | $681.46 | $681.46 | $681.46 | |
MVP Health Care
| Professional | $681.46 | $681.46 | $681.46 |
Level 4 Hospital Type B Ed Visit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $209.04 | $231.05 | $231.05 | |
Cigna
| Professional | $681.46 | $681.46 | $681.46 | |
MVP Health Care
| Professional | $681.46 | $681.46 | $681.46 |