| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.00 | $4,289.00 | $4,980.00 | |
Medica
| Facility | $737.00 | $2,412.00 | $4,984.00 | |
United
| Facility | $616.00 | $1,227.00 | $4,177.00 |
Newborn-Level III
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.00 | $4,289.00 | $4,980.00 | |
Medica
| Facility | $737.00 | $2,412.00 | $4,984.00 | |
United
| Facility | $616.00 | $1,227.00 | $4,177.00 |