| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $260.00 | $260.00 | $260.00 | |
Anthem BCBS
| Professional | $52.20 | $500.00 | $4,817.05 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |
Unlisted Psychiatric Service/Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $260.00 | $260.00 | $260.00 | |
Anthem BCBS
| Professional | $52.20 | $500.00 | $4,817.05 | |
Well Sense
| Professional | $2,500.00 | $2,750.00 | $3,500.00 |