| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
Cigna
| Professional | $191.00 | $191.00 | $191.00 | |
United
| Professional | $127.12 | $136.57 | $171.38 |
Unlisted Psychiatric Service/Procedure
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $350.00 | $350.00 | $350.00 | |
Cigna
| Professional | $191.00 | $191.00 | $191.00 | |
United
| Professional | $127.12 | $136.57 | $171.38 |