| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.00 | $2,100.00 | $11,855.00 | |
Cigna
| Facility | $1,500.00 | $2,715.00 | $4,456.00 | |
United
| Facility | $350.00 | $885.00 | $1,799.00 |
Newborn-Level Iv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $350.00 | $2,100.00 | $11,855.00 | |
Cigna
| Facility | $1,500.00 | $2,715.00 | $4,456.00 | |
United
| Facility | $350.00 | $885.00 | $1,799.00 |