| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,454.71 | $2,630.27 | $2,754.23 |
Other Room & Board - Sterile Environment
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $2,454.71 | $2,630.27 | $2,754.23 |