| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $369.16 | $500.15 | $567.80 | |
Cigna
| Facility | $541.00 | $541.00 | $541.00 | |
United
| Facility | $0.41 | $857.82 | $857.82 |
Subsequent inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 29 days through 24 months of age
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $369.16 | $500.15 | $567.80 | |
Cigna
| Facility | $541.00 | $541.00 | $541.00 | |
United
| Facility | $0.41 | $857.82 | $857.82 |