| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $14.73 | $14.73 | $14.73 | |
BCBS
| Facility | $30.48 | $371.29 | $1,619.88 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |
Professional Fees (Extension of 096X and 097X)-Emergency Room
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $14.73 | $14.73 | $14.73 | |
BCBS
| Facility | $30.48 | $371.29 | $1,619.88 | |
Lucent Health
| Facility | $100.00 | $100.00 | $100.00 |