| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $321.67 | $321.67 | $321.67 | |
Medica
| Facility | $317.80 | $395.91 | $765.38 | |
United
| Facility | $395.40 | $857.82 | $857.82 |
Subsq Ped Critical Care 29 Days Thru 24 Mo
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $321.67 | $321.67 | $321.67 | |
Medica
| Facility | $317.80 | $395.91 | $765.38 | |
United
| Facility | $395.40 | $857.82 | $857.82 |