| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.90 | $346.90 | $346.90 | |
Medica
| Facility | $346.90 | $589.73 | $893.18 | |
Midlands
| Facility | $575.45 | $745.06 | $1,037.35 | |
United
| Facility | $0.41 | $0.41 | $0.41 |
Subsq Ped Critical Care 29 Days Thru 24 Mo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $346.90 | $346.90 | $346.90 | |
Medica
| Facility | $346.90 | $589.73 | $893.18 | |
Midlands
| Facility | $575.45 | $745.06 | $1,037.35 | |
United
| Facility | $0.41 | $0.41 | $0.41 |