| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $661.73 | $661.73 | $661.73 | |
Medica
| Facility | $289.17 | $477.42 | $751.84 | |
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 | $661.73 | $661.73 | $661.73 | |
Medica
| Facility | $289.17 | $477.42 | $751.84 | |
United
| Facility | $857.82 | $857.82 | $857.82 |