| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.00 | $537.00 | $537.00 | |
BCBS
| Facility | $362.00 | $362.00 | $414.06 | |
Cigna
| Facility | $576.00 | $576.00 | $576.00 | |
Providence
| Facility | $576.00 | $576.00 | $625.00 |
Emergency Room-Other
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $537.00 | $537.00 | $537.00 | |
BCBS
| Facility | $362.00 | $362.00 | $414.06 | |
Cigna
| Facility | $576.00 | $576.00 | $576.00 | |
Providence
| Facility | $576.00 | $576.00 | $625.00 |