| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4,993.84 | $6,065.15 | $8,205.57 | |
Medica
| Facility | $5,523.61 | $6,166.98 | $8,120.41 |
Extreme Immaturity or Respiratory Distress Syndrome, Neonate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $4,993.84 | $6,065.15 | $8,205.57 | |
Medica
| Facility | $5,523.61 | $6,166.98 | $8,120.41 |