| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $916.34 | $916.34 | $916.34 | |
Priority Health
| Facility | $916.34 | $916.34 | $916.34 |
Mental Health Services Composite
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Cigna
| Facility | $916.34 | $916.34 | $916.34 | |
Priority Health
| Facility | $916.34 | $916.34 | $916.34 |