| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117,087.00 | $144,564.00 | $198,299.00 | |
Cigna
| Facility | $99,084.09 | $161,752.35 | $251,041.55 | |
United
| Facility | $3,884.00 | $116,011.18 | $216,509.82 |
Extreme immaturity or respiratory distress syndrome, neonate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $117,087.00 | $144,564.00 | $198,299.00 | |
Cigna
| Facility | $99,084.09 | $161,752.35 | $251,041.55 | |
United
| Facility | $3,884.00 | $116,011.18 | $216,509.82 |