| 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 | $2,511.89 | $2,511.89 |
Room & Board Other-Hospital at Home
| 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 | $2,511.89 | $2,511.89 |