| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110,411.00 | $136,321.00 | $186,992.00 | |
United
| Facility | $39,764.64 | $102,379.23 | $179,593.80 |
Nontraumatic Stupor and Coma with MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $110,411.00 | $136,321.00 | $186,992.00 | |
United
| Facility | $39,764.64 | $102,379.23 | $179,593.80 |