| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Florida Blue
| Facility | $5,573.13 | $5,573.13 | $10,379.98 | |
United
| Facility | $7,989.24 | $18,757.00 | $19,128.96 |
Extreme Immaturity or Respiratory Distress Syndrome, Neonate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Florida Blue
| Facility | $5,573.13 | $5,573.13 | $10,379.98 | |
United
| Facility | $7,989.24 | $18,757.00 | $19,128.96 |