| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $100.00 | $100.00 | $635.70 | |
Medcost
| Facility | $467.37 | $664.21 | $945.49 |
Initial Ped Critical Care 2 Thru 5 Years
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $100.00 | $100.00 | $635.70 | |
Medcost
| Facility | $467.37 | $664.21 | $945.49 |