| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157,477.00 | $187,738.00 | $232,448.00 | |
Cigna
| Facility | $99,204.71 | $196,337.20 | $275,833.40 | |
United
| Facility | $10,845.00 | $209,229.94 | $269,170.81 |
Organic Disturbances&Mental Retardation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $157,477.00 | $187,738.00 | $232,448.00 | |
Cigna
| Facility | $99,204.71 | $196,337.20 | $275,833.40 | |
United
| Facility | $10,845.00 | $209,229.94 | $269,170.81 |