| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $7,762.47 | $7,762.47 | $7,762.47 |
Other Room & Board - Sterile Environment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $7,762.47 | $7,762.47 | $7,762.47 |