| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $20,892.96 | $45,708.82 | $53,703.18 | |
Cigna
| Facility | $29,512.09 | $35,481.34 | $69,183.10 | |
Harvard Pilgrim
| Facility | $35,481.34 | $35,481.34 | $35,481.34 |
Traumatic stupor & coma, coma >1 hr w MCC
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Anthem BCBS
| Facility | $20,892.96 | $45,708.82 | $53,703.18 | |
Cigna
| Facility | $29,512.09 | $35,481.34 | $69,183.10 | |
Harvard Pilgrim
| Facility | $35,481.34 | $35,481.34 | $35,481.34 |