| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $7,265.02 | $11,820.59 | $17,682.88 |
Extreme Immaturity or Respiratory Distress Syndrome, Neonate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $7,265.02 | $11,820.59 | $17,682.88 |