| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.00 | $1,402.00 | $11,204.00 | |
Cigna
| Facility | $500.00 | $1,350.00 | $3,128.00 | |
United
| Facility | $475.00 | $872.00 | $1,800.00 |
Newborn-Level Iv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $400.00 | $1,402.00 | $11,204.00 | |
Cigna
| Facility | $500.00 | $1,350.00 | $3,128.00 | |
United
| Facility | $475.00 | $872.00 | $1,800.00 |