| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $292.70 | $292.70 | $292.70 | |
CareSource
| Facility | $275.66 | $370.63 | $432.40 | |
Cigna
| Facility | $382.54 | $382.54 | $382.54 | |
United
| Facility | $461.91 | $461.91 | $461.91 |
Subsequent Ped Critical Care 2 Thru 5 Years
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $292.70 | $292.70 | $292.70 | |
CareSource
| Facility | $275.66 | $370.63 | $432.40 | |
Cigna
| Facility | $382.54 | $382.54 | $382.54 | |
United
| Facility | $461.91 | $461.91 | $461.91 |