| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $100.00 | $100.00 | $382.54 | |
Medcost
| Facility | $281.67 | $396.64 | $569.79 |
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 | $100.00 | $100.00 | $382.54 | |
Medcost
| Facility | $281.67 | $396.64 | $569.79 |