| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $955.00 | $2,035.00 | $4,738.00 | |
Lucent Health
| Facility | $2,300.00 | $4,000.00 | $4,000.00 |
Nursery - NeoNatal ICU
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $955.00 | $2,035.00 | $4,738.00 | |
Lucent Health
| Facility | $2,300.00 | $4,000.00 | $4,000.00 |