| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,651.00 | $6,904.26 | $8,209.48 | |
United
| Facility | $4,697.41 | $4,697.41 | $4,697.41 |
Extreme Immaturity or Respiratory Distress Syndrome, Neonate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $2,651.00 | $6,904.26 | $8,209.48 | |
United
| Facility | $4,697.41 | $4,697.41 | $4,697.41 |