| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,500.00 | $7,500.00 | $7,500.00 | |
Moda Health
| Facility | $176.65 | $176.65 | $1,172.42 |
Emergency Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $7,500.00 | $7,500.00 | $7,500.00 | |
Moda Health
| Facility | $176.65 | $176.65 | $1,172.42 |