| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $482.01 | $482.01 | $482.01 | |
CareSource
| Facility | $484.16 | $636.51 | $774.66 | |
Cigna
| Facility | $635.70 | $635.70 | $635.70 |
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 | $482.01 | $482.01 | $482.01 | |
CareSource
| Facility | $484.16 | $636.51 | $774.66 | |
Cigna
| Facility | $635.70 | $635.70 | $635.70 |