| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $535.98 | $817.60 | $1,120.10 | |
Midlands
| Facility | $804.95 | $1,046.56 | $1,102.47 | |
Sanford Health Plan
| Professional | $687.12 | $941.32 | $1,231.97 |
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 | $535.98 | $817.60 | $1,120.10 | |
Midlands
| Facility | $804.95 | $1,046.56 | $1,102.47 | |
Sanford Health Plan
| Professional | $687.12 | $941.32 | $1,231.97 |