| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $491.00 | $688.31 | $688.31 | |
Ambetter
| Facility | $355.44 | $539.59 | $1,186.43 | |
Medica
| Facility | $365.58 | $652.75 | $1,524.00 |
Emergency Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $491.00 | $688.31 | $688.31 | |
Ambetter
| Facility | $355.44 | $539.59 | $1,186.43 | |
Medica
| Facility | $365.58 | $652.75 | $1,524.00 |