| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3,434.21 | $5,114.22 | $19,331.40 | |
Cigna
| Facility | $89,152.50 | $154,744.97 | $167,321.41 | |
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 |
|---|---|---|---|---|---|
BCBS
| Facility | $3,434.21 | $5,114.22 | $19,331.40 | |
Cigna
| Facility | $89,152.50 | $154,744.97 | $167,321.41 | |
United
| Facility | $3,200.00 | $3,200.00 | $76,849.00 |