| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.18 | $155.18 | $155.18 | |
Aetna
| Professional | $117.95 | $237.75 | $447.24 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Medica
| Facility | $155.18 | $170.70 | $309.08 |
Inter Active Grp Psych Parti
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $155.18 | $155.18 | $155.18 | |
Aetna
| Professional | $117.95 | $237.75 | $447.24 | |
Cigna
| Facility | $64.00 | $64.00 | $64.00 | |
Medica
| Facility | $155.18 | $170.70 | $309.08 |