| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $36,805.39 | $60,885.90 | $117,908.63 | |
Harvard Pilgrim
| Facility | $51,497.17 | $81,025.70 | $119,036.10 | |
United
| Facility | $65,988.56 | $65,988.56 | $114,838.25 |
Nontraumatic Stupor and Coma with MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $36,805.39 | $60,885.90 | $117,908.63 | |
Harvard Pilgrim
| Facility | $51,497.17 | $81,025.70 | $119,036.10 | |
United
| Facility | $65,988.56 | $65,988.56 | $114,838.25 |