| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $557.91 | $557.91 | $557.91 | |
Medica
| Facility | $474.23 | $670.79 | $1,230.19 |
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 | $557.91 | $557.91 | $557.91 | |
Medica
| Facility | $474.23 | $670.79 | $1,230.19 |