| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,040.00 | $19,040.00 | $19,040.00 | |
Cigna
| Facility | $8,740.99 | $14,720.10 | $14,974.69 | |
United
| Facility | $6,773.89 | $9,796.00 | $10,315.00 |
Neonate W Other Significant Problems
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19,040.00 | $19,040.00 | $19,040.00 | |
Cigna
| Facility | $8,740.99 | $14,720.10 | $14,974.69 | |
United
| Facility | $6,773.89 | $9,796.00 | $10,315.00 |