| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $382.54 | $382.54 | $382.54 | |
Providence
| Facility | $265.31 | $368.59 | $508.52 | |
United
| Facility | $456.95 | $456.95 | $456.95 |
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 |
|---|---|---|---|---|---|
Cigna
| Facility | $382.54 | $382.54 | $382.54 | |
Providence
| Facility | $265.31 | $368.59 | $508.52 | |
United
| Facility | $456.95 | $456.95 | $456.95 |