| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.35 | $344.35 | $344.35 | |
CareSource
| Facility | $353.50 | $435.07 | $543.84 | |
Cigna
| Facility | $451.80 | $451.80 | $451.80 | |
United
| Facility | $556.60 | $556.60 | $556.60 |
Subsq Ped Critical Care 29 Days Thru 24 Mo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $344.35 | $344.35 | $344.35 | |
CareSource
| Facility | $353.50 | $435.07 | $543.84 | |
Cigna
| Facility | $451.80 | $451.80 | $451.80 | |
United
| Facility | $556.60 | $556.60 | $556.60 |