| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,482.00 | $1,771.00 | $6,871.00 | |
Medica
| 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 | $1,482.00 | $1,771.00 | $6,871.00 | |
Medica
| Facility | $4,000.00 | $4,000.00 | $4,000.00 |