| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $85.11 | $1,737.80 | $5,011.87 | |
Cigna
| Facility | $3,235.94 | $3,235.94 | $5,754.40 | |
Providence
| Facility | $3,235.94 | $3,235.94 | $5,754.40 |
Room & Board Three and Four Beds-Pediatric
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Christus
| Facility | $85.11 | $1,737.80 | $5,011.87 | |
Cigna
| Facility | $3,235.94 | $3,235.94 | $5,754.40 | |
Providence
| Facility | $3,235.94 | $3,235.94 | $5,754.40 |