| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,174.90 | $2,630.27 | $10,232.93 |
Room & Board - Semi-Private Two Bed - Pediatric
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,174.90 | $2,630.27 | $10,232.93 |