| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $448.64 | $652.57 | $978.86 | |
Cigna
| Facility | $635.70 | $635.70 | $635.70 |
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 | $448.64 | $652.57 | $978.86 | |
Cigna
| Facility | $635.70 | $635.70 | $635.70 |