| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,596.00 | $11,442.00 | $84,769.60 | |
BCBS
| Facility | $1,740.00 | $63,281.54 | $100,501.69 | |
United
| Facility | $60,484.84 | $91,035.52 | $131,450.29 |
Nontraumatic Stupor and Coma with MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,596.00 | $11,442.00 | $84,769.60 | |
BCBS
| Facility | $1,740.00 | $63,281.54 | $100,501.69 | |
United
| Facility | $60,484.84 | $91,035.52 | $131,450.29 |