| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $451.80 | $451.80 | $451.80 | |
Providence
| Facility | $313.95 | $435.78 | $603.04 | |
United
| Facility | $857.82 | $857.82 | $857.82 |
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 | $451.80 | $451.80 | $451.80 | |
Providence
| Facility | $313.95 | $435.78 | $603.04 | |
United
| Facility | $857.82 | $857.82 | $857.82 |