| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,294.00 | $11,855.00 | $11,855.00 | |
Medica
| Facility | $500.00 | $1,149.00 | $4,352.00 | |
United
| Facility | $500.00 | $500.00 | $1,453.00 |
Newborn-Level Iv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,294.00 | $11,855.00 | $11,855.00 | |
Medica
| Facility | $500.00 | $1,149.00 | $4,352.00 | |
United
| Facility | $500.00 | $500.00 | $1,453.00 |