| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,258.93 | $1,258.93 | $1,621.81 |
Subacute Care-Other Subacute Care
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $1,258.93 | $1,258.93 | $1,621.81 |