| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $16,982.44 | $16,982.44 | $17,782.79 |
Neonate With Other Significant Problems
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $16,982.44 | $16,982.44 | $17,782.79 |