| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,317.64 | $8,317.64 | $8,317.64 | |
Cigna
| Facility | $23,442.29 | $23,442.29 | $23,442.29 | |
United
| Facility | $3,801.89 | $3,801.89 | $3,801.89 |
Nontraumatic stupor & coma w/o MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $8,317.64 | $8,317.64 | $8,317.64 | |
Cigna
| Facility | $23,442.29 | $23,442.29 | $23,442.29 | |
United
| Facility | $3,801.89 | $3,801.89 | $3,801.89 |