| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $338.84 | $398.11 | $489.78 | |
Christus
| Facility | $302.00 | $426.58 | $426.58 | |
Cigna
| Facility | $524.81 | $524.81 | $524.81 |
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 | $338.84 | $398.11 | $489.78 | |
Christus
| Facility | $302.00 | $426.58 | $426.58 | |
Cigna
| Facility | $524.81 | $524.81 | $524.81 |