| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
BCBS
| Facility | $63.08 | $63.08 | $67.90 | |
BCBS
| Professional | $135.00 | $135.00 | $315.00 | |
Medica
| Professional | $17.34 | $60.00 | $137.78 |
Unlisted Psychiatric Service/Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
BCBS
| Facility | $63.08 | $63.08 | $67.90 | |
BCBS
| Professional | $135.00 | $135.00 | $315.00 | |
Medica
| Professional | $17.34 | $60.00 | $137.78 |