| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.39 | $388.39 | $391.77 | |
Medica
| Facility | $329.24 | $423.01 | $874.07 | |
United
| Facility | $857.82 | $857.82 | $857.82 |
Subsq Ped Critical Care 29 Days Thru 24 Mo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $388.39 | $388.39 | $391.77 | |
Medica
| Facility | $329.24 | $423.01 | $874.07 | |
United
| Facility | $857.82 | $857.82 | $857.82 |