| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,454.71 | $5,370.32 | $9,772.37 |
Room & Board - Semi-Private Two Bed - Pediatric
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,454.71 | $5,370.32 | $9,772.37 |