| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Medica
| Facility | $324.99 | $492.32 | $674.48 | |
Midlands
| Facility | $488.12 | $630.09 | $663.68 | |
Sanford Health Plan
| Professional | $412.44 | $568.02 | $747.06 |
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 |
|---|---|---|---|---|---|
Medica
| Facility | $324.99 | $492.32 | $674.48 | |
Midlands
| Facility | $488.12 | $630.09 | $663.68 | |
Sanford Health Plan
| Professional | $412.44 | $568.02 | $747.06 |