| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $512.86 | $512.86 | $512.86 | |
Hometown Health
| Professional | $6.03 | $512.86 | $724.44 |
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 | $512.86 | $512.86 | $512.86 | |
Hometown Health
| Professional | $6.03 | $512.86 | $724.44 |