| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,819.70 | $2,344.23 | $4,897.79 |
Special Charges-Late Discharge, Medically Necessary
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $1,819.70 | $2,344.23 | $4,897.79 |