| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Midlands
| Facility | $616.60 | $616.60 | $645.65 |
Special Charges-Late Discharge, Medically Necessary
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Midlands
| Facility | $616.60 | $616.60 | $645.65 |