| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58,979.80 | $91,971.80 | $117,192.00 | |
Medica
| Facility | $50,200.40 | $95,547.22 | $133,854.66 | |
United
| Facility | $90,794.52 | $104,228.75 | $133,854.66 |
Nontraumatic Stupor and Coma with MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $58,979.80 | $91,971.80 | $117,192.00 | |
Medica
| Facility | $50,200.40 | $95,547.22 | $133,854.66 | |
United
| Facility | $90,794.52 | $104,228.75 | $133,854.66 |