| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62,726.70 | $97,144.50 | $109,884.00 | |
Anthem BCBS
| Facility | $60,646.50 | $91,965.47 | $131,092.42 | |
United
| Facility | $5,274.00 | $90,598.36 | $149,356.99 |
Nontraumatic Stupor and Coma with MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $62,726.70 | $97,144.50 | $109,884.00 | |
Anthem BCBS
| Facility | $60,646.50 | $91,965.47 | $131,092.42 | |
United
| Facility | $5,274.00 | $90,598.36 | $149,356.99 |