| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.46 | $101.51 | $129.18 | |
Cigna
| Professional | $95.36 | $131.40 | $208.53 | |
United
| Professional | $96.42 | $121.43 | $228.03 |
Critical care face-to-face services, during an interfacility transport of critically ill or critically injured pediatric patient, 24 months of age or younger; each additional 30 minutes (List separately in addition to code for primary service)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $91.46 | $101.51 | $129.18 | |
Cigna
| Professional | $95.36 | $131.40 | $208.53 | |
United
| Professional | $96.42 | $121.43 | $228.03 |