| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $1,819.70 | $1,819.70 | |
Kaiser Permanente
| Professional | $489.78 | $512.86 | $1,230.27 | |
United
| Facility | $426.58 | $426.58 | $426.58 |
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 |
|---|---|---|---|---|---|
Aetna
| Facility | $1,819.70 | $1,819.70 | $1,819.70 | |
Kaiser Permanente
| Professional | $489.78 | $512.86 | $1,230.27 | |
United
| Facility | $426.58 | $426.58 | $426.58 |