| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $312.91 | $470.93 | $1,678.12 | |
Medica
| Facility | $296.20 | $503.50 | $745.54 | |
Midlands
| Facility | $488.12 | $630.09 | $884.23 |
Subsequent Ped Critical Care 2 Thru 5 Years
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Hally Health
| Professional | $312.91 | $470.93 | $1,678.12 | |
Medica
| Facility | $296.20 | $503.50 | $745.54 | |
Midlands
| Facility | $488.12 | $630.09 | $884.23 |