| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $6,199.64 | $10,812.85 | $15,541.08 | |
United
| Facility | $6,137.43 | $6,550.66 | $7,767.39 |
Extreme Immaturity or Respiratory Distress Syndrome, Neonate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $6,199.64 | $10,812.85 | $15,541.08 | |
United
| Facility | $6,137.43 | $6,550.66 | $7,767.39 |
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