| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
BCBS
| Professional | $10.67 | $10.67 | $10.67 | |
Molina
| Professional | $8.74 | $14.98 | $85.00 |
Unlisted Psychiatric Service/Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
BCBS
| Professional | $10.67 | $10.67 | $10.67 | |
Molina
| Professional | $8.74 | $14.98 | $85.00 |