| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,982.00 | $1,982.00 | $1,982.00 | |
United
| Facility | $1,169.00 | $1,169.00 | $1,371.00 |
Room & Board - Semi-Private Two Bed - Pediatric
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,982.00 | $1,982.00 | $1,982.00 | |
United
| Facility | $1,169.00 | $1,169.00 | $1,371.00 |