| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3,000.00 | $4,097.00 | $4,467.60 | |
Cigna
| Facility | $22,138.50 | $38,426.53 | $41,549.54 | |
United
| Facility | $1,850.00 | $1,850.00 | $1,850.00 |
Neonate With Other Significant Problems
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
BCBS
| Facility | $3,000.00 | $4,097.00 | $4,467.60 | |
Cigna
| Facility | $22,138.50 | $38,426.53 | $41,549.54 | |
United
| Facility | $1,850.00 | $1,850.00 | $1,850.00 |