| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.00 | $4,650.00 | $8,475.00 | |
Kaiser Permanente
| Facility | $141.00 | $1,500.00 | $19,479.00 | |
Lucent Health
| Facility | $4,000.00 | $4,000.00 | $4,000.00 |
Nursery - NeoNatal ICU
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $420.00 | $4,650.00 | $8,475.00 | |
Kaiser Permanente
| Facility | $141.00 | $1,500.00 | $19,479.00 | |
Lucent Health
| Facility | $4,000.00 | $4,000.00 | $4,000.00 |