| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Facility | $87,096.36 | $125,892.54 | $141,253.75 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,778.28 |
Intensive Care-Other Intensive Care
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hometown Health
| Facility | $87,096.36 | $125,892.54 | $141,253.75 | |
United
| Facility | $1,621.81 | $1,621.81 | $1,778.28 |