| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $416.87 | $794.33 | $1,174.90 | |
Midlands
| Professional | $812.83 | $1,071.52 | $1,096.48 | |
Sanford Health Plan
| Professional | $691.83 | $912.01 | $1,230.27 |
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 |
|---|---|---|---|---|---|
Medica
| Facility | $416.87 | $794.33 | $1,174.90 | |
Midlands
| Professional | $812.83 | $1,071.52 | $1,096.48 | |
Sanford Health Plan
| Professional | $691.83 | $912.01 | $1,230.27 |