| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,781.69 | $11,855.00 | $11,855.00 | |
Cigna
| Facility | $518.76 | $3,557.81 | $3,814.03 | |
United
| Facility | $1,153.00 | $1,522.00 | $11,286.00 |
Newborn-Level Iv
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $5,781.69 | $11,855.00 | $11,855.00 | |
Cigna
| Facility | $518.76 | $3,557.81 | $3,814.03 | |
United
| Facility | $1,153.00 | $1,522.00 | $11,286.00 |