| 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 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 |
|---|---|---|---|---|---|
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 |