| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $617.82 | $617.82 | $617.82 | |
Providence
| Facility | $283.50 | $459.67 | $722.32 |
Subsq Ped Critical Care 29 Days Thru 24 Mo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $617.82 | $617.82 | $617.82 | |
Providence
| Facility | $283.50 | $459.67 | $722.32 |