| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $375.65 | $443.27 | $563.48 | |
Cigna
| Facility | $425.00 | $451.80 | $1,200.00 | |
Medical Mutual of Ohio
| Facility | $425.00 | $451.80 | $1,200.00 |
Subsq Ped Critical Care 29 Days Thru 24 Mo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $375.65 | $443.27 | $563.48 | |
Cigna
| Facility | $425.00 | $451.80 | $1,200.00 | |
Medical Mutual of Ohio
| Facility | $425.00 | $451.80 | $1,200.00 |