| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Facility | $350.00 | $375.00 | $450.00 | |
Medica
| Facility | $1,243.80 | $1,243.80 | $1,243.80 | |
Quartz
| Facility | $350.00 | $375.00 | $500.00 |
Inpt Continuous Ambulatory (Capd)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.00 | $200.00 | $200.00 | |
Cigna
| Facility | $350.00 | $375.00 | $450.00 | |
Medica
| Facility | $1,243.80 | $1,243.80 | $1,243.80 | |
Quartz
| Facility | $350.00 | $375.00 | $500.00 |