| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,047.13 | $1,047.13 | $1,047.13 |
Hospice Service-General Inpatient Care Nonrespite
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Ambetter
| Facility | $1,047.13 | $1,047.13 | $1,047.13 |