| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89,125.09 | $141,253.75 | $141,253.75 | |
Cigna
| Facility | $95,499.26 | $162,181.01 | $162,181.01 | |
United
| Facility | $8,317.64 | $10,232.93 | $87,096.36 |
Extreme immaturity or respiratory distress syndrome, neonate
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $89,125.09 | $141,253.75 | $141,253.75 | |
Cigna
| Facility | $95,499.26 | $162,181.01 | $162,181.01 | |
United
| Facility | $8,317.64 | $10,232.93 | $87,096.36 |