| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $7,374.23 | $11,926.68 | $23,876.03 | |
United
| Facility | $10,896.43 | $10,896.43 | $10,896.43 |
Extreme Immaturity or Respiratory Distress Syndrome, Neonate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $7,374.23 | $11,926.68 | $23,876.03 | |
United
| Facility | $10,896.43 | $10,896.43 | $10,896.43 |