| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $17,782.79 | $17,782.79 | $17,782.79 |
Intensive Care - Surgical
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $17,782.79 | $17,782.79 | $17,782.79 |