| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $367.50 | $367.50 | $367.50 | |
BCBS
| Facility | $28.17 | $28.17 | $28.17 | |
CareSource
| Facility | $184.25 | $184.25 | $245.67 | |
United
| Professional | $19.12 | $19.12 | $19.12 |
Unlisted psychiatric service or procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $367.50 | $367.50 | $367.50 | |
BCBS
| Facility | $28.17 | $28.17 | $28.17 | |
CareSource
| Facility | $184.25 | $184.25 | $245.67 | |
United
| Professional | $19.12 | $19.12 | $19.12 |