| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $30.65 | $372.11 | $1,624.89 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,800.00 |
Special Charges - Admission Charge
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $30.65 | $372.11 | $1,624.89 | |
United
| Facility | $2,000.00 | $2,000.00 | $2,800.00 |