| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $518.70 | $518.70 | $518.70 | |
Hometown Health
| Professional | $6.00 | $537.39 | $763.65 |
Initial Ped Critical Care 2 Thru 5 Years
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $518.70 | $518.70 | $518.70 | |
Hometown Health
| Professional | $6.00 | $537.39 | $763.65 |