| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $302.00 | |
Ambetter
| Facility | $371.54 | $891.25 | $1,513.56 |
Emergency Room-General Classification
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $302.00 | $302.00 | $302.00 | |
Ambetter
| Facility | $371.54 | $891.25 | $1,513.56 |