| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $2,178.00 | $2,178.00 | $2,178.00 | |
United
| Facility | $683.00 | $683.00 | $683.00 |
Room & Board - Hospital at Home
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Moda Health
| Facility | $2,178.00 | $2,178.00 | $2,178.00 | |
United
| Facility | $683.00 | $683.00 | $683.00 |