| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,980.00 | $11,204.00 | $11,204.00 | |
Medica
| Facility | $737.00 | $1,709.00 | $6,919.50 | |
United
| Facility | $616.00 | $1,187.00 | $4,962.00 |
Newborn-Level Iv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $4,980.00 | $11,204.00 | $11,204.00 | |
Medica
| Facility | $737.00 | $1,709.00 | $6,919.50 | |
United
| Facility | $616.00 | $1,187.00 | $4,962.00 |