| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $59,541.95 | $84,135.72 | $136,484.54 | |
Hometown Health
| Facility | $47,444.01 | $69,393.60 | $76,341.72 | |
United
| Facility | $164,747.22 | $164,747.22 | $164,747.22 |
Nontraumatic Stupor and Coma with MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $59,541.95 | $84,135.72 | $136,484.54 | |
Hometown Health
| Facility | $47,444.01 | $69,393.60 | $76,341.72 | |
United
| Facility | $164,747.22 | $164,747.22 | $164,747.22 |