| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $452.68 | $531.41 | $779.53 | |
Cigna
| Facility | $425.00 | $635.70 | $1,200.00 | |
Medical Mutual of Ohio
| Facility | $425.00 | $635.70 | $1,200.00 |
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 |
|---|---|---|---|---|---|
CareSource
| Facility | $452.68 | $531.41 | $779.53 | |
Cigna
| Facility | $425.00 | $635.70 | $1,200.00 | |
Medical Mutual of Ohio
| Facility | $425.00 | $635.70 | $1,200.00 |