| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $635.70 | $635.70 | $635.70 | |
Denver HMP
| Facility | $476.16 | $714.14 | $941.15 | |
Kaiser Permanente
| Professional | $623.35 | $785.96 | $1,328.00 |
Initial inpatient pediatric critical care, per day, for the evaluation and management of a critically ill infant or young child, 2 through 5 years of age
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $635.70 | $635.70 | $635.70 | |
Denver HMP
| Facility | $476.16 | $714.14 | $941.15 | |
Kaiser Permanente
| Professional | $623.35 | $785.96 | $1,328.00 |