| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,715.19 | $12,302.69 | $12,302.69 | |
Medica
| Facility | $2,511.89 | $3,890.45 | $72,443.60 |
Room & Board - Semi-Private Two Bed - Pediatric
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,715.19 | $12,302.69 | $12,302.69 | |
Medica
| Facility | $2,511.89 | $3,890.45 | $72,443.60 |