| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,235.94 | $3,235.94 | $5,754.40 | |
Providence
| Facility | $3,235.94 | $3,235.94 | $5,754.40 |
Room & Board Other-Hospital at Home
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $3,235.94 | $3,235.94 | $5,754.40 | |
Providence
| Facility | $3,235.94 | $3,235.94 | $5,754.40 |