| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $600.00 | $600.00 | $600.00 | |
Ambetter
| Facility | $154.15 | $280.33 | $732.76 | |
Cigna
| Facility | $178.00 | $352.00 | $369.00 | |
United
| Facility | $870.00 | $870.00 | $870.00 |
Treatment/Observation Room - Treatment Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $600.00 | $600.00 | $600.00 | |
Ambetter
| Facility | $154.15 | $280.33 | $732.76 | |
Cigna
| Facility | $178.00 | $352.00 | $369.00 | |
United
| Facility | $870.00 | $870.00 | $870.00 |