| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,525.00 | $1,525.00 | $4,301.00 | |
Martin's Point
| Facility | $1,525.00 | $1,525.00 | $4,301.00 |
Nursery - NeoNatal ICU
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,525.00 | $1,525.00 | $4,301.00 | |
Martin's Point
| Facility | $1,525.00 | $1,525.00 | $4,301.00 |