| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $38,698.51 | $98,930.95 | $126,834.54 |
Nontraumatic Stupor and Coma with MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $38,698.51 | $98,930.95 | $126,834.54 |