| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.00 | $243.00 | $694.00 | |
Wellpoint
| Facility | $2,116.00 | $2,300.00 | $4,071.00 |
Neonatal Ambulance Services
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $217.00 | $243.00 | $694.00 | |
Wellpoint
| Facility | $2,116.00 | $2,300.00 | $4,071.00 |