| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $100.00 | $616.60 | $616.60 | |
Medcost
| Professional | $501.19 | $537.03 | $575.44 | |
Medcost
| Facility | $331.13 | $467.74 | $812.83 |
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 | $100.00 | $616.60 | $616.60 | |
Medcost
| Professional | $501.19 | $537.03 | $575.44 | |
Medcost
| Facility | $331.13 | $467.74 | $812.83 |