| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.00 | $200.00 | $200.00 | |
Medica
| Facility | $110.00 | $110.00 | $110.00 |
Skilled Nursing
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $200.00 | $200.00 | $200.00 | |
Medica
| Facility | $110.00 | $110.00 | $110.00 |