| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $100.00 | $851.14 | $851.14 | |
Medcost
| Professional | $707.95 | $741.31 | $812.83 | |
Medcost
| Facility | $467.74 | $660.69 | $1,122.02 |
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 | $100.00 | $851.14 | $851.14 | |
Medcost
| Professional | $707.95 | $741.31 | $812.83 | |
Medcost
| Facility | $467.74 | $660.69 | $1,122.02 |