| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,066.00 | $10,066.00 | $10,066.00 | |
United
| Facility | $683.00 | $683.00 | $683.00 |
Nursery-Newborn-Level IV
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $10,066.00 | $10,066.00 | $10,066.00 | |
United
| Facility | $683.00 | $683.00 | $683.00 |