| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $286.00 | $286.00 | $286.00 | |
Ambetter
| Facility | $245.47 | $334.87 | $650.82 | |
Cigna
| Facility | $80.00 | $80.00 | $6,095.00 |
Treatment/Observation Room - Treatment Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $286.00 | $286.00 | $286.00 | |
Ambetter
| Facility | $245.47 | $334.87 | $650.82 | |
Cigna
| Facility | $80.00 | $80.00 | $6,095.00 |