| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.00 | $200.00 | $210.00 | |
Ambetter
| Facility | $7.55 | $7.55 | $443.28 |
Professional Fees (Extension Of 096X And 097X) - Emergency Room Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $106.00 | $200.00 | $210.00 | |
Ambetter
| Facility | $7.55 | $7.55 | $443.28 |