| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,498.45 | $26,302.68 | $28,840.32 | |
Kaiser Permanente
| Facility | $4,677.35 | $7,762.47 | $398,107.17 | |
United
| Facility | $933.25 | $4,677.35 | $8,317.64 |
Room & Board Three and Four Beds-Pediatric
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,498.45 | $26,302.68 | $28,840.32 | |
Kaiser Permanente
| Facility | $4,677.35 | $7,762.47 | $398,107.17 | |
United
| Facility | $933.25 | $4,677.35 | $8,317.64 |