| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.93 | $331.93 | $334.82 | |
Medica
| Facility | $278.33 | $364.32 | $739.54 | |
United
| Facility | $456.95 | $456.95 | $456.95 |
Subsequent Ped Critical Care 2 Thru 5 Years
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $331.93 | $331.93 | $334.82 | |
Medica
| Facility | $278.33 | $364.32 | $739.54 | |
United
| Facility | $456.95 | $456.95 | $456.95 |