| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $68,653.37 | $68,653.37 | $72,160.03 | |
United
| Facility | $3,200.00 | $3,200.00 | $76,849.00 |
Extreme immaturity or respiratory distress syndrome, neonate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $68,653.37 | $68,653.37 | $72,160.03 | |
United
| Facility | $3,200.00 | $3,200.00 | $76,849.00 |