| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $2,076.39 | $2,881.40 | $3,745.63 |
Special Charges-Late Discharge, Medically Necessary
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
United
| Facility | $2,076.39 | $2,881.40 | $3,745.63 |