| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177,489.00 | $219,141.00 | $300,596.00 | |
Cigna
| Facility | $152,334.32 | $195,940.78 | $368,456.60 | |
United
| Facility | $63,923.11 | $164,578.35 | $288,703.62 |
Organic Disturbances&Mental Retardation
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $177,489.00 | $219,141.00 | $300,596.00 | |
Cigna
| Facility | $152,334.32 | $195,940.78 | $368,456.60 | |
United
| Facility | $63,923.11 | $164,578.35 | $288,703.62 |