| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $544.19 | $661.12 | $811.10 | |
Christus
| Facility | $470.24 | $470.24 | $521.71 | |
Cigna
| Facility | $635.70 | $635.70 | $635.70 |
Initial Ped Critical Care 2 Thru 5 Years
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $544.19 | $661.12 | $811.10 | |
Christus
| Facility | $470.24 | $470.24 | $521.71 | |
Cigna
| Facility | $635.70 | $635.70 | $635.70 |