| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $631.14 | $631.14 | $631.14 | |
Aetna
| Professional | $195.58 | $291.48 | $631.14 | |
Anthem BCBS
| Professional | $119.60 | $163.66 | $307.77 |
Level 5 Hospital Type B Ed Visit
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $631.14 | $631.14 | $631.14 | |
Aetna
| Professional | $195.58 | $291.48 | $631.14 | |
Anthem BCBS
| Professional | $119.60 | $163.66 | $307.77 |