| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.47 | $336.47 | $526.29 |
Subsq Ped Critical Care 29 Days Thru 24 Mo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $336.47 | $336.47 | $526.29 |