| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $851.14 | $851.14 | |
Medica
| Facility | $95.50 | $95.50 | $95.50 |
Subacute Care-Level IV
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $851.14 | $851.14 | $851.14 | |
Medica
| Facility | $95.50 | $95.50 | $95.50 |