| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $635.70 | $635.70 | $635.70 | |
Providence
| Facility | $442.40 | $607.79 | $844.51 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $635.70 | $635.70 | $635.70 | |
Providence
| Facility | $442.40 | $607.79 | $844.51 |