| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $516.44 | $776.08 | $2,510.62 | |
Medica
| Facility | $491.71 | $818.76 | $1,247.73 | |
Midlands
| Facility | $804.95 | $1,046.56 | $1,434.75 |
Initial Ped Critical Care 2 Thru 5 Years
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $516.44 | $776.08 | $2,510.62 | |
Medica
| Facility | $491.71 | $818.76 | $1,247.73 | |
Midlands
| Facility | $804.95 | $1,046.56 | $1,434.75 |