| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196,161.00 | $196,161.00 | $196,161.00 | |
United
| Facility | $8,306.00 | $10,063.00 | $79,994.46 |
Nontraumatic Stupor and Coma with MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $196,161.00 | $196,161.00 | $196,161.00 | |
United
| Facility | $8,306.00 | $10,063.00 | $79,994.46 |