| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $6,199.64 | $10,688.10 | $16,656.16 | |
United
| Facility | $7,299.70 | $7,299.70 | $7,299.70 |
Extreme Immaturity or Respiratory Distress Syndrome, Neonate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $6,199.64 | $10,688.10 | $16,656.16 | |
United
| Facility | $7,299.70 | $7,299.70 | $7,299.70 |