| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $271.92 | $271.92 | $271.92 | |
Medica
| Facility | $268.64 | $338.70 | $649.52 | |
United
| Facility | $329.34 | $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 |
|---|---|---|---|---|---|
Aetna
| Facility | $271.92 | $271.92 | $271.92 | |
Medica
| Facility | $268.64 | $338.70 | $649.52 | |
United
| Facility | $329.34 | $456.95 | $456.95 |