| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $64,565.42 | $87,096.36 | $95,499.26 | |
Cigna
| Facility | $95,499.26 | $95,499.26 | $95,499.26 | |
Providence
| Facility | $95,499.26 | $95,499.26 | $95,499.26 |
Prematurity With Major Problems
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $64,565.42 | $87,096.36 | $95,499.26 | |
Cigna
| Facility | $95,499.26 | $95,499.26 | $95,499.26 | |
Providence
| Facility | $95,499.26 | $95,499.26 | $95,499.26 |