| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $467.74 | $575.44 | |
Christus
| Facility | $346.74 | $346.74 | $371.54 | |
Cigna
| Facility | $616.60 | $616.60 | $616.60 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $398.11 | $467.74 | $575.44 | |
Christus
| Facility | $346.74 | $346.74 | $371.54 | |
Cigna
| Facility | $616.60 | $616.60 | $616.60 |