| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $369.16 | $555.30 | $2,359.16 | |
Medica
| Facility | $349.90 | $578.21 | $885.80 | |
Midlands
| Facility | $575.45 | $745.06 | $1,037.35 |
Subsq Ped Critical Care 29 Days Thru 24 Mo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $369.16 | $555.30 | $2,359.16 | |
Medica
| Facility | $349.90 | $578.21 | $885.80 | |
Midlands
| Facility | $575.45 | $745.06 | $1,037.35 |