| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $537.03 | $537.03 | |
Providence
| Facility | $575.44 | $575.44 | $575.44 |
ER beyond EMTALA screening
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.03 | $537.03 | $537.03 | |
Providence
| Facility | $575.44 | $575.44 | $575.44 |