| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
CareSource
| Facility | $274.42 | $322.14 | $472.56 | |
Cigna
| Facility | $382.54 | $382.54 | $1,200.00 | |
Medical Mutual of Ohio
| Facility | $382.54 | $382.54 | $1,200.00 |
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 |
|---|---|---|---|---|---|
CareSource
| Facility | $274.42 | $322.14 | $472.56 | |
Cigna
| Facility | $382.54 | $382.54 | $1,200.00 | |
Medical Mutual of Ohio
| Facility | $382.54 | $382.54 | $1,200.00 |