| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $451.80 | $451.80 | $451.80 |
Subsq Ped Critical Care 29 Days Thru 24 Mo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $451.80 | $451.80 | $451.80 |