| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,120.00 | $5,120.00 | $5,120.00 | |
Emblem Health
| Facility | $4,817.00 | $4,817.00 | $4,817.00 |
Principal diagnosis invalid as discharge diagnosis
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,120.00 | $5,120.00 | $5,120.00 | |
Emblem Health
| Facility | $4,817.00 | $4,817.00 | $4,817.00 |