| 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 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $617.82 | $617.82 | $617.82 | |
Providence
| Facility | $283.50 | $459.67 | $722.32 |