| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208,023.00 | $208,023.00 | $208,023.00 | |
Cigna
| Facility | $95,500.16 | $160,825.17 | $163,606.72 | |
United
| Facility | $3,200.00 | $10,063.00 | $87,333.79 |
Extreme Immaturity Or Respiratory Distress Syndrome, Neonate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $208,023.00 | $208,023.00 | $208,023.00 | |
Cigna
| Facility | $95,500.16 | $160,825.17 | $163,606.72 | |
United
| Facility | $3,200.00 | $10,063.00 | $87,333.79 |